Individual provider · Type 1 NPI
Susan L. Forkus, LCPC
Professional Counselor · Bryant Pond, ME
NPI number
1124350749
Active
Practice location
201 S Main St
Bryant Pond, ME 04219-6431
Mailing address
PO Box 15, 201 South Main Street
Bryant Pond, ME 04219-0015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CC1048 (ME) |
Professional Counselor: Definition to come...
About NPI 1124350749
Susan L. Forkus, LCPC's National Provider Identifier is 1124350749, issued on Feb 6, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bryant Pond, ME. The record was last updated on Feb 6, 2010.