Provider Demographics
NPI:1750171278
Name:FORBES, EMILEE CORINE (PPS)
Entity type:Individual
Prefix:
First Name:EMILEE
Middle Name:CORINE
Last Name:FORBES
Suffix:
Gender:
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 E SAGINAW AVE
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-9315
Mailing Address - Country:US
Mailing Address - Phone:559-393-3900
Mailing Address - Fax:
Practice Address - Street 1:2013 E SAGINAW AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-9315
Practice Address - Country:US
Practice Address - Phone:559-393-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230229552101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool