Individual
CARMISHA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1136 S DELANO CT W STE B201, CHICAGO, IL 60605-3734
(630) 423-6010
Mailing address
3001 S MICHIGAN AVE UNIT 2103, CHICAGO, IL 60616-3164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178011670
IL
101YM0800X
Mental Health Counselor
180012915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178011670
LICENSE
IL
Enumeration date
10/11/2017
Last updated
07/21/2020
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