Individual
JASMEKA KOASHER FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, PCMHT
Contact information
Practice address
103 SOUTHLAKE CIR, CANTON, MS 39046-5369
(601) 859-8371
Mailing address
118 LYLES DR, SHANNON, MS 38868-8333
(662) 321-1861
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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