Forkenbrock, Christy Allison

Forkenbrock, Christy Allison is an sole proprietor health care provider with primary practice located at 122 Meadow Lane , Mammoth Lakes CA 93546. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Forkenbrock, Christy Allison can be contacted via phone (760) 647-6236.

Contact Information

Primary practice address
122 Meadow Lane Mammoth Lakes CA 93546
Phone: (760) 647-6236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X F0401230924 California

Profile Details

NPI number 1619021060
LBN Legal business name Forkenbrock, Christy Allison
Credentials M.A. RAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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