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1578198271
FORREST S RAY
LONGMONT, CO
NPI
1578198271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CO LPCC.0017005)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
FORREST S RAY LPCC
1551 PROFESSIONAL LN UNIT 180
LONGMONT, CO 80501-6970
Phone number: 720-476-3740
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Mailing Address
FORREST S RAY LPCC
2995 EAGLE WAY APT 24
BOULDER, CO 80301-1339
Phone number: 850-748-4399
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