Individual
KRISTEN FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
620 TERESA CT SE, RIO RANCHO, NM 87124-2382
(505) 688-7083
Mailing address
838 MACKILHAFFY DR, PATTERSON, CA 95363-9111
(209) 606-5547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2026-0079
NM
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2023
Last updated
01/30/2026
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