Provider Demographics
NPI:1013077320
Name:FORRAS, AGNES JUDITH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:AGNES
Middle Name:JUDITH
Last Name:FORRAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10756 EXETER AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6940
Mailing Address - Country:US
Mailing Address - Phone:206-367-0756
Mailing Address - Fax:206-666-2417
Practice Address - Street 1:10756 EXETER AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6940
Practice Address - Country:US
Practice Address - Phone:206-367-0756
Practice Address - Fax:206-666-2417
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004726101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health