Forrest, Jean Carol

Forrest, Jean Carol is an individual health care provider with primary practice located at 939 Johnson Ave , Ronkonkoma NY 11779-6066. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Forrest, Jean Carol can be contacted via phone (631) 471-7242.

Contact Information

Primary practice address
939 Johnson Ave Ronkonkoma NY 11779-6066
Phone: (631) 471-7242
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001146 New York

Profile Details

NPI number 1417981515
LBN Legal business name Forrest, Jean Carol
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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