Organization
ERIC FOSTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC WAYNE FOSTER MA, LMHC (OWNER)
(574) 936-3377
Entity
Organization
Contact information
Practice address
322 WEST JEFFERSON ST., PLYMOUTH, IN 46563-1734
(574) 936-3377
(574) 936-3910
Mailing address
322 W JEFFERSON ST, PLYMOUTH, IN 46563-1734
(574) 936-3377
(574) 936-3910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000890A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200400060A
—
IN
Enumeration date
05/25/2010
Last updated
05/25/2010
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