Individual
KATIE J FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 999-3495
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(262) 345-5560
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2449-226
WI
101YP2500X
Professional Counselor
Primary
6445-125
WI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
17655-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42223600
—
WI
Enumeration date
11/17/2014
Last updated
10/07/2024
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