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Individual
SHAWNEE NIKITA FOSTER
Active
Individual
SHAWNEE NIKITA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R1386190420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1386190420
CA
373H00000X
Day Training/Habilitation Specialist
Primary
MPSS-SLAKTF
CA
Other
Enumeration date
03/01/2021
Last updated
05/28/2025
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