Individual
MISS SHELLY A FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1520 LOGAN AVE STE 3, CHEYENNE, WY 82001-5138
(970) 817-3426
(307) 514-9445
Mailing address
1520 LOGAN AVE STE 3, CHEYENNE, WY 82001-5138
(970) 817-3426
(307) 638-8256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
275
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130755000
—
WY
01
—
311228
BS
WY
Enumeration date
07/12/2005
Last updated
11/25/2018
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