Individual
TYKISHA MICHELLE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
2790 GODWIN BLVD, SUFFOLK, VA 23434-8151
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103756
VA
Other
Enumeration date
08/07/2012
Last updated
09/20/2024
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