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Individual

TERI DAWN FORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-S

Contact information

Practice address
9025 NINNIS DR, JUNEAU, AK 99801-8771
(907) 545-5483
Mailing address
PO BOX 32561, JUNEAU, AK 99803-2561
(907) 545-5483

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
872
AK

Other

Enumeration date
08/24/2011
Last updated
12/29/2021
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