Individual
JIM FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5130 S PECOS RD, LAS VEGAS, NV 89120-1201
(702) 222-2222
Mailing address
5130 S PECOS RD, LAS VEGAS, NV 89120-1201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
04/17/2014
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