Individual
JACKIE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
705 E 41ST ST STE 200, SIOUX FALLS, SD 57105-6048
(605) 444-7643
(605) 444-7690
Mailing address
705 E 41ST ST STE 200, SIOUX FALLS, SD 57105-6048
(605) 444-7643
(605) 444-7690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20668
SD
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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