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Individual

ALEXIS NICOLE FORREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, APCC

Contact information

Practice address
155 GRANADA ST STE N, CAMARILLO, CA 93010-7725
(805) 987-3162
Mailing address
390 MOONCREST CT, NEWBURY PARK, CA 91320-5030
(805) 826-1388

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
106H00000X
Marriage & Family Therapist
Primary
113859
CA

Other

Enumeration date
03/28/2017
Last updated
06/17/2019
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