Individual
FORREST ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 465-4833
(208) 467-2654
Mailing address
1712 DEARBORN ST, CALDWELL, ID 83605-5039
(253) 720-5888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10163
ID
Other
Enumeration date
02/08/2022
Last updated
06/25/2024
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