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Angilene Nichole Forrest
Addiction (Substance Use Disorder) Counselor in Ceres, California
NPI 1184183477

Angilene Nichole Forrest is an Addiction (Substance Use Disorder) Counselor based in Ceres, CA and is specialized in Addiction (Substance Use Disorder). Angilene Nichole Forrest practices in Ceres, CA. The NPI Number for Angilene Nichole Forrest is 1184183477 and holds a License No. (California).

The current practice location address for Angilene Nichole Forrest is 1768 Mitchell Rd Ste 301, Ceres, CA and can be reached out via phone at 209-353-4838.

Location: 1768 Mitchell Rd Ste 301, Ceres, CA, 95307-6735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184183477
Provider Name
Angilene Nichole Forrest
Credential
Provider Entity Type
Individual
Gender
Female
Address
1768 Mitchell Rd Ste 301, Ceres, CA, 95307-6735
Phone Number
209-353-4838
Fax Number
Provider Enumeration Date
03/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1768 Mitchell Rd Ste 301
City
Ceres
State
California
Zip
95307-2156
Phone Number
209-353-4838
Fax Number
person
Provider Business Mailing Address Details
Address
1768 Mitchell Rd Ste 301
City
Ceres
State
California
Zip
95307-2156
Phone Number
209-353-4838
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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