Organization
FOSTER MENTAL HEALTH LLC
Active
Other names
Foster Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANN FOSTER LPC (OWNER/THERAPIST)
(918) 606-5674
Entity
Organization
Contact information
Practice address
1712 W CANTON CT, BROKEN ARROW, OK 74012-6884
(918) 606-5674
Mailing address
1712 W CANTON CT, BROKEN ARROW, OK 74012-6884
(918) 606-5674
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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