Forrest, Joanna G
Forrest, Joanna G is an sole proprietor health care provider with primary practice located at 105 Danbury Rd Ste 203 , Ridgefield CT 06877-4147. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Forrest, Joanna G can be contacted via phone (203) 501-0822.Contact Information
Primary practice address
105 Danbury Rd Ste 203
Ridgefield CT 06877-4147
Phone: (203) 501-0822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001417 | Connecticut |
Profile Details
| NPI number | 1811060585 |
|---|---|
| LBN Legal business name | Forrest, Joanna G |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Sep 20th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811060585 | NPPES |
| Other | 240001417CT01 | ANTHEM BLUE CROSS BLUE SH | |
| Other | 358781 | ANTHEM BLUE CROSS BLUE SH |
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