| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY ANNE-JULIN FORRESTER | 1548573496 | 2023-12-09 |
Kelly Anne-julin Forrester is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548573496. Registration indicates Kelly Anne-julin Forrester is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Kelly Anne-julin Forrester M.S., LPC |
| Practice Office Address | 3301 VETERANS DR STE 126 TRAVERSE CITY, MI US |
| Practice Office Telephone | 2317358338 |
| Practice Office Fax | 8337046170 |
| Mailing Address | 3301 VETERANS DR STE 126 TRAVERSE CITY, MI 496844564 US |
| Business Telephone | 2317358338 |
| Business Fax | 8337046170 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 6401012209
MI |