Individual
BETH ANNE FOULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
317 30TH ST APT 502C, SPRINGFIELD, OR 97478-7688
(541) 321-0245
Mailing address
317 30TH ST APT 502C, SPRINGFIELD, OR 97478-7688
(541) 321-0245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R7974
OR
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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