Individual
DEREK FORRESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
103 TIMBERSTONE TRL, SIX MILE, SC 29682-4607
(864) 356-5100
Mailing address
103 TIMBERSTONE TRL, SIX MILE, SC 29682-4607
(864) 356-5100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6459
SC
Other
Enumeration date
11/04/2014
Last updated
02/07/2017
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