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Individual

DR. BILLIE EDWARD FORISHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4715 NORTHROP DR, MINNEAPOLIS, MN 55406-3657
(206) 661-6918
Mailing address
4715 NORTHROP DR, MINNEAPOLIS, MN 55406-3657
(206) 661-6918

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LPO 929
MN
106H00000X
Marriage & Family Therapist
LF00001275
WA

Other

Enumeration date
05/14/2007
Last updated
10/03/2009
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