Individual provider · Type 1 NPI

Christy Allison Forkenbrock, M.A. RAS

Addiction (Substance Use Disorder) Counselor · Mammoth Lakes, CA

NPI number 1619021060 Active

Practice location

122 Meadow Lane
Mammoth Lakes, CA 93546

Call (760) 647-6236 Map

Mailing address

PO Box 3862
Mammoth Lakes, CA 93546-3862

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XF0401230924 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619021060

Christy Allison Forkenbrock, M.A. RAS's National Provider Identifier is 1619021060, issued on Jan 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Jul 8, 2007.