Individual
LISA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4201 N 16TH ST, SUITE 250, PHOENIX, AZ 85016-5347
(602) 685-6000
(602) 248-8936
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 302-6973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-15811
AZ
Other
Enumeration date
08/21/2012
Last updated
02/03/2016
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