Individual
JEANINE M FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3200 CARLISLE BLVD NE STE 225, ALBUQUERQUE, NM 87110-1664
(505) 453-7307
(505) 293-0617
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0113011
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55172318
—
NM
Enumeration date
04/11/2013
Last updated
02/19/2025
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