Individual
CHERRY V FOULTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 NE 134TH ST STE 220A, VANCOUVER, WA 98685-2722
(360) 737-9792
Mailing address
1313 NE 134TH ST STE 220A, VANCOUVER, WA 98685-2722
(360) 737-9792
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61204764
WA
Other
Enumeration date
04/07/2018
Last updated
08/09/2021
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