Individual
JOANNA G FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 DANBURY RD STE 203, RIDGEFIELD, CT 06877-4147
(203) 501-0822
Mailing address
105 DANBURY RD, RIDGEFIELD, CT 06877-4147
(203) 501-0822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001417
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240001417CT01
ANTHEM BLUE CROSS BLUE SH
—
01
—
358781
MHN
—
Enumeration date
11/17/2006
Last updated
09/20/2021
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