Individual
CRYSTAL FORGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
87 W OLD BROADMOOR RD, COLORADO SPRINGS, CO 80906-3332
(845) 551-1140
Mailing address
87 W OLD BROADMOOR RD, COLORADO SPRINGS, CO 80906-3332
(845) 551-1140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002288
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09930354
CO
Other
Enumeration date
12/19/2023
Last updated
05/30/2024
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