Individual
LORI ANN FORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 577-5477
(405) 577-5488
Mailing address
900 NE 122ND ST APT 1510, OKLAHOMA CITY, OK 73114-9212
(785) 840-6567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10120
OK
101YP2500X
Professional Counselor
Primary
94828
TX
Other
Enumeration date
04/17/2013
Last updated
11/12/2024
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