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Individual

RASHIDA BANTU-FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1265 GRAHAM RD STE 3, FLORISSANT, MO 63031-8018
(314) 643-6228
Mailing address
4332 ALDERWOOD CT, BLACK JACK, MO 63033-4210
(573) 355-2604
(757) 369-1981

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701007863
MO
101Y00000X
Counselor
Primary
0701007863
VA

Other

Enumeration date
08/23/2018
Last updated
03/13/2026
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