Individual
BRANDIE LEIGH FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC
Contact information
Practice address
44199 MONROE ST, INDIO, CA 92201-3096
(760) 863-8262
(760) 770-2240
Mailing address
6860 BROCKTON AVE STE 9, RIVERSIDE, CA 92506-3816
(951) 224-9940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
178623
CA
171M00000X
Case Manager/Care Coordinator
Primary
178623
CA
Other
Enumeration date
08/18/2021
Last updated
10/31/2024
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