Individual
KENNETH FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AD
Contact information
Practice address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(443) 683-8050
(410) 243-8175
Mailing address
6511 WOODGREEN CIR, BALTIMORE, MD 21207-7801
(443) 683-8050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0749
MD
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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