Individual
JOHN FORREST SCHOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPCC
Contact information
Practice address
824 LA SENDA LN NW, LOS RANCHOS, NM 87107-6412
(505) 463-2596
Mailing address
824 LA SENDA LN NW, LOS RANCHOS, NM 87107-6412
(505) 463-2596
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0790
NM
101YP2500X
Professional Counselor
Primary
CCMH0790
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000Z6642
—
NM
05
—
000Z6642
—
NM
01
—
15602
LOVELACE
NM
01
—
201034357
PRESBYTHERIAN
NM
01
—
NM00JN03
BLUE CROSS BLUE SHIELD
NM
01
—
NM100973
VALUE OPTION
NM
Enumeration date
09/20/2006
Last updated
01/04/2024
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