Individual
EMILY GRISCOM FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW18303
Contact information
Practice address
50 LEANNI WAY UNIT B5, PALM COAST, FL 32137-4754
(386) 243-4322
Mailing address
50 LEANNI WAY UNIT B5, PALM COAST, FL 32137-4754
(386) 243-4322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP100640
FL
1041C0700X
Clinical Social Worker
Primary
SW18303
FL
Other
Enumeration date
07/01/2021
Last updated
09/25/2025
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