Individual
JULIA MW FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-4480
(207) 662-3262
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6778
ME
1041C0700X
Clinical Social Worker
Primary
LC16182
ME
Other
Enumeration date
03/06/2015
Last updated
07/08/2019
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