Individual
CORINNE FORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMFT-ASSOCIATE
Contact information
Practice address
31320 INTERSTATE 10 W STE A, BOERNE, TX 78006-5028
(210) 396-7609
(830) 755-2369
Mailing address
10538 BOUNTY DR, SAN ANTONIO, TX 78245-1302
(916) 425-9755
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204717
TX
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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