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Individual

SCOTT LERON FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2305 OLD COUNTY RD, POCAHONTAS, AR 72455-4148
(870) 892-1005
(870) 892-0078
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
P0203012
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172077795
AR
01
5II77
BCBS
AR
Enumeration date
09/09/2011
Last updated
05/09/2018
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