Individual
DANE ALEXANDER FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2735 10TH ST, EVERETT, WA 98201-1413
(425) 258-4802
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
(425) 349-8359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60329328
WA
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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