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MRS. CHRISTY ALLISON FORKENBROCK M.A. RAS
NPI 1619021060
Counselor - Addiction (Substance Use Disorder) in Mammoth Lakes, CA

Active since January 23, 2007
122 MEADOW LANE, MAMMOTH LAKES, CA 93546(760) 647-6236 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Christy Allison Forkenbrock M.a. Ras NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CHRISTY ALLISON FORKENBROCK M.A. RAS (NPI 1619021060) is an individual addiction (substance use disorder) provider in Mammoth Lakes, California, licensed in California (F0401230924) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1619021060
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CHRISTY ALLISON FORKENBROCKCredential: M.A. RAS
Location Address122 MEADOW LANEMammoth Lakes, CA 93546
Mailing AddressPo Box 3862Mammoth Lakes, CA 93546-3862 · (760) 647-6236
Phone(760) 647-6236
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619021060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · F0401230924
122 MEADOW LANE, Mammoth Lakes, CA 93546
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christy Forkenbrock's NPI number?

The NPI number for Christy Forkenbrock is 1619021060. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Christy Forkenbrock located?

Christy Forkenbrock practices at 122 Meadow Lane, Mammoth Lakes, CA 93546. The listed phone number is (760) 647-6236.

What is Christy Forkenbrock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Christy Forkenbrock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.