Most Relevant Information
Provider Data
| NPI Number: | 1003381732 |
| Provider Name: | STEPHANIE LANDERS FORREST M.ED, CAC II, MAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 149 |
Most Important Dates
| Enumeration Date: | 10/09/2018 |
| Last Updated: | 10/09/2018 |
Provider Practice Location
1612 RIVERS ST
GREENWOOD
SC
296498513
Practice Location Phone/Fax
| Phone: | 8642271001 |
| Fax: |
Provider Mailing Location
237 BEECH CREEK RD
JOHNSTON
SC
298324423
Provider Mailing Phone/Fax
| Phone: | 8036371754 |
| Fax: | 8036371727 |