Individual
CHRISTINA FORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1420 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-5660
(505) 401-1802
Mailing address
PO BOX 53002, ALBUQUERQUE, NM 87153-3002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0095291
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58821350
—
NM
Enumeration date
03/15/2007
Last updated
09/22/2019
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