MRS. Christy Allison Forkenbrock, M.A. RAS
NPI #1619021060 in Mammoth Lakes, California
Provider Information
- NPI Number
- 1619021060
- Entity Type
- Individual
- Name
- MRS. Christy Allison Forkenbrock, M.A. RAS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- M.A. RAS
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 122 MEADOW LANE
- City
- Mammoth Lakes
- State
- California
- ZIP Code
- 93546
- Phone
- (760) 647-6236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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