KELSEY MARIKO FOREST

BERKELEY, CA
NPI1235786948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-19
Last Update Date2019-08-19
Business Address
KELSEY MARIKO FOREST Intern
2712 TELEGRAPH AVE
BERKELEY, CA 94705-1117
Phone number: 510-548-8283
Mailing Address
KELSEY MARIKO FOREST Intern
816 WESTERN DR
SANTA CRUZ, CA 95060-6823
Phone number: 831-818-4191
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