Individual
MRS. TANYA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2431 SAND LAKE RD, ORLANDO, FL 32809-7641
(407) 305-4029
Mailing address
2431 SAND LAKE RD, ORLANDO, FL 32809-7641
(407) 305-4029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
XXX
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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