Individual
ADRENA NICHELLE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3883 MAUMEE BAY WAY, COLUMBUS, OH 43232-4277
(614) 928-6025
Mailing address
3883 MAUMEE BAY WAY, COLUMBUS, OH 43232-4277
(614) 928-6025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010684796
—
OH
Enumeration date
03/07/2021
Last updated
03/07/2021
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