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1023468501
NICO FOREST
GRANTS PASS, OR
NPI
1023468501
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Former Name
NICHOLAS CLINTON FOREST ANDERSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C5470)
Enumeration Date
2016-06-15
Last Update Date
2024-02-07
Business Address
NICO FOREST M.A., LPC
1545 HARBECK RD
GRANTS PASS, OR 97527-5605
Phone number: 541-476-2373
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Mailing Address
NICO FOREST M.A., LPC
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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