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Individual

FORREST S RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
1551 PROFESSIONAL LN UNIT 180, LONGMONT, CO 80501-6970
(720) 476-3740
Mailing address
2995 EAGLE WAY APT 24, BOULDER, CO 80301-1339
(850) 748-4399

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0017005
CO

Other

Enumeration date
03/03/2020
Last updated
03/03/2020
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