Philip Ean Forrest

NPI #1023323110 in Portales, New Mexico

Provider Information

NPI Number: 1023323110
Entity Type: Individual
Name: Philip Ean Forrest
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 12, 2010
Last Updated: Aug 12, 2010

Practice Location

Address: 220 W 2ND ST
City: Portales
State: New Mexico
ZIP Code: 88130-6232
Phone: (575) 356-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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