Individual
DOMINIQUE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5060 STONEHILL LN, MATTHEWS, NC 28104-6117
(954) 240-0505
Mailing address
5060 STONEHILL LN, MATTHEWS, NC 28104-6117
(954) 240-0505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-31150
NC
1041C0700X
Clinical Social Worker
Primary
P023526
NC
Other
Enumeration date
01/06/2026
Last updated
05/06/2026
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