Individual
JESSICA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3500
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002107A
IN
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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