Individual
MAYA DANIELLE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
2110 PRIEST BRIDGE DR STE 4, CROFTON, MD 21114-2472
(240) 459-3074
Mailing address
PO BOX 3112, CROFTON, MD 21114-0112
(240) 459-3074
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LGM504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200406200
—
MD
Enumeration date
01/05/2016
Last updated
02/19/2018
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