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Individual

CRYSTAL FORBES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2881 SAN LORENZO CT, LAS CRUCES, NM 88007-1969
(575) 520-5205
Mailing address
PO BOX 1050, FAIRACRES, NM 88033-1050
(575) 339-5534

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0184801
NM
101YP2500X
Professional Counselor
Primary
CCMH0201851
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24152226
NM
Enumeration date
04/24/2017
Last updated
03/22/2023
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