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Misty Marie Forsyth, SUDRC

Counselor, Addiction (Substance Use Disorder) in Red Bluff, CA. Individual provider (NPI-1).

NPI number1619705407
StatusActive
Last updated in NPPESJul 23, 2024

Details

NPI
1619705407
Entity type
Individual (NPI-1)
Name
Misty Marie Forsyth
Credential
SUDRC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2024
Certification date
Jul 23, 2024
Last updated
Jul 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)16737CAYes

Practice location

1850 Walnut St Ste G
Red Bluff, CA 96080-3611

Phone 530-527-7893 · Fax 530-527-0766

Mailing address

Po Box 400
Red Bluff, CA 96080-0400

Phone 530-527-7893 · Fax 530-527-0766

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