ANGILENE NICHOLE FORREST

CERES, CA
NPI1184183477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-15
Last Update Date2021-01-11
Business Address
ANGILENE NICHOLE FORREST
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number: 209-353-4838
Mailing Address
ANGILENE NICHOLE FORREST
3700 MOORE RD
CERES, CA 95307-6735
Phone number: 209-735-2244
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