Individual
DR. MICHAEL FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
107 N 34TH ST, ROGERS, AR 72756-0304
(479) 631-2658
(479) 631-8052
Mailing address
2602 BEAU DR, ROGERS, AR 72758-3932
(479) 636-1829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P8009090
AR
Other
Enumeration date
07/05/2005
Last updated
10/19/2010
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