Individual
CAMILLE RENE FOSKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
Mailing address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497821680
—
OR
Enumeration date
02/07/2023
Last updated
02/07/2023
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