FORREST ANDERSON
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1679227615- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3307 CALDWELL BLVD STE 104, NAMPA, ID, 836516403
- Phone
- (208) 465-4833
- Fax
- (208) 467-2654
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #10163