Individual
MR. KENNETH RUSSELL FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A./ED.S.
Contact information
Practice address
178 HICKORY RDG, WILKESBORO, NC 28697-8005
(336) 984-1038
Mailing address
PO BOX 928, MORAVIAN FALLS, NC 28654-0928
(336) 984-1038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2650
NC
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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