Organization
JORDAN FOSTER PSYCHOTHERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN FOSTER LCSW (OWNER)
(415) 497-6068
Entity
Organization
Contact information
Practice address
2715 PORTER ST STE 204, SOQUEL, CA 95073-2437
(831) 219-8249
Mailing address
614 BONITA DR, APTOS, CA 95003-4804
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
03/06/2025
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