Individual
NANCY V FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
412 W BALTIMORE AVE, MEDIA, PA 19063-3602
(610) 627-0111
(610) 565-3972
Mailing address
330 N ORANGE ST, MEDIA, PA 19063-2308
(610) 627-0111
(610) 565-3972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC002697
PA
101YP2500X
Professional Counselor
PC002697
PA
Other
Enumeration date
12/04/2006
Last updated
09/11/2025
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