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Individual

JOSEPH FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LIMHP

Contact information

Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-5575
(402) 552-6007
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
11109
NE
101YM0800X
Mental Health Counselor
Primary
2163
NE
104100000X
Social Worker
1835
NE
1041C0700X
Clinical Social Worker
7139
NE

Other

Enumeration date
02/14/2017
Last updated
10/05/2020
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