Individual
ASHLEY LYNNE FORESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
3975 I 55 N, APT. Y6, JACKSON, MS 39216-3700
(662) 544-1409
Mailing address
3975 I 55 N, APT. Y6, JACKSON, MS 39216-3700
(662) 544-1409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2092
MS
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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