Individual
COLIN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8437
(707) 988-4812
Mailing address
1346 MOUNTAIN WAY, CLARKSVILLE, TN 37043-3847
(012) 601-1128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1449
MS
Other
Enumeration date
12/20/2007
Last updated
01/21/2025
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