Doctor Name: | MRS. SUZANNE CHRISTINE FOSTER-WOLFE |
NPI Number: | 1043539588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LCADC, NCC, DCC |
License Number: | 37LC00188200 |
Business Practice Address: | 318 Forrest Ln Swedesboro, NJ - 08085 |
Business Phone Number: | 8569756616 |
Business Fax Number: | |
Mailing Address: | 318 Forrest Ln, SWEDESBORO |
State: | NJ |
Postal Code: | 080853328 |
Phone Number: | 8569756616 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2010 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00188200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |