Individual
CHRISTINE A FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
715 N 1ST AVE, DURANT, OK 74701-3801
(580) 931-3008
(580) 931-8022
Mailing address
4058 ROBINSON RD, BOKCHITO, OK 74726-1816
(580) 920-6162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20049040
—
OK
Enumeration date
10/25/2011
Last updated
10/25/2011
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