Doctor Name: | CAROL FOSTER |
NPI Number: | 1770997199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | 3481 |
Business Practice Address: | 535 Clinic Rd E Box Elder, MT - 595218826 |
Business Phone Number: | 4063954818 |
Business Fax Number: | 4063954861 |
Mailing Address: | 535 Clinic Rd E, BOX ELDER |
State: | MT |
Postal Code: | 595218826 |
Phone Number: | 4063954818 |
Fax Number: | 4063954861 |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |