Provider Demographics
NPI:1679803209
Name:FORSTING, CATHERINE ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:FORSTING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATIE
Other - Middle Name:
Other - Last Name:REAMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:201 WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1530
Mailing Address - Country:US
Mailing Address - Phone:949-690-6474
Mailing Address - Fax:
Practice Address - Street 1:201 WESTVIEW DR
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1530
Practice Address - Country:US
Practice Address - Phone:949-690-6474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
MTBH-LCPC-LIC-11407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist