Individual
BERJANA LAFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W APACHE TRL UNIT 106-1B, APACHE JUNCTION, AZ 85120-3928
(702) 470-5555
Mailing address
4904 S POWER RD STE 103-159, MESA, AZ 85212-3633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/12/2023
Last updated
06/22/2023
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