Female

Ms. Susan L. Forkus LCPC

Professional Counselor in Bryant Pond, ME(View on Map)

Full Name

Ms. Susan L. Forkus LCPC

NPI Number

1124350749

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/06/2010

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

CC1048

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 15
201 S MAIN ST

City

Bryant Pond
Bryant Pond

State

ME
ME

Postal Code

04219-0015
04219-6431

Country

US
US

Telephone Number

(207) 665-2616
(207) 665-2616

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/06/2010

Provider Address