Individual
DYLAN JAY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
7142 CHIMNEY HILL DR, APT 3205, WEST BLOOMFIELD, MI 48322-4535
(231) 920-8749
Mailing address
7185 PRIMROSE LN, GRAND BLANC, MI 48439-2329
(231) 920-8749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451015391
MI
Other
Enumeration date
03/15/2017
Last updated
12/20/2022
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