Individual
LA'SHAWN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 STARBOARD ST, PORTSMOUTH, VA 23702-1949
(757) 236-6649
Mailing address
313 STARBOARD ST, PORTSMOUTH, VA 23702-1949
(757) 236-6649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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