Individual
JENNIFER R FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1131 E BROAD ST, ELYRIA, OH 44035-6305
(440) 365-1900
Mailing address
2 CARRIE LN, OLMSTED TWP, OH 44138-2914
(440) 213-2215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.165723
OH
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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