Individual
PROF. JENNIFER MICHELLE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CD, IBCLC, RLC
Contact information
Practice address
213 RUSSELL CT, CANTON, GA 30115-2918
(470) 533-9119
Mailing address
213 RUSSELL CT, CANTON, GA 30115-2918
(470) 533-9119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
372500000X
Chore Provider
—
—
374J00000X
Doula
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-3017550
1275870172
FL
01
—
A536433835890
FLORIDA DRIVER'S LICENSE
FL
Enumeration date
01/11/2013
Last updated
11/02/2020
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