Provider Demographics
NPI:1275744906
Name:FORESTANDI, CAREN J (MA, LPC, CAC-S)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:J
Last Name:FORESTANDI
Suffix:
Gender:F
Credentials:MA, LPC, CAC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4056
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25402-4056
Mailing Address - Country:US
Mailing Address - Phone:304-264-1442
Mailing Address - Fax:304-264-4317
Practice Address - Street 1:2000 FOUNDATION WAY
Practice Address - Street 2:SUITE 3500
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-9003
Practice Address - Country:US
Practice Address - Phone:304-264-1442
Practice Address - Fax:304-264-4317
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV1205101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)