Individual
EMMA M FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
314 E HIGHLAND MALL BLVD STE 252, AUSTIN, TX 78752-3766
(512) 774-5779
Mailing address
11907 CONANN CT, AUSTIN, TX 78753-2110
(512) 797-5255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75035
TX
Other
Enumeration date
10/21/2017
Last updated
08/02/2022
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