Individual
DOROTHEA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29623 NORTHWESTERN HWY STE 6, SOUTHFIELD, MI 48034-1076
(313) 932-5527
(313) 731-1991
Mailing address
628 PINGREE ST, DETROIT, MI 48202-2024
(313) 932-5527
(313) 784-9612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401019634
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063965432
—
MI
01
—
6401019634
MENTAL/ BEHAVIORAL HEALTH
MI
Enumeration date
08/02/2016
Last updated
10/10/2022
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