Individual provider · Type 1 NPI

Kelsey Mariko Forest, INTERN

Mental Health Counselor · Berkeley, CA

NPI number 1235786948 Active

Practice location

2712 Telegraph Ave
Berkeley, CA 94705-1117

Mailing address

816 Western Dr
Santa Cruz, CA 95060-6823

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235786948

Kelsey Mariko Forest, INTERN's National Provider Identifier is 1235786948, issued on Aug 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkeley, CA. The record was last updated on Aug 19, 2019.