Individual
MS. AUTUMN LYNN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
8626 LOWER SACRAMENTO RD, STOCKTON, CA 95210-1835
(209) 478-2487
(209) 478-1476
Mailing address
8626 LOWER SACRAMENTO RD, STOCKTON, CA 95210-1835
(209) 478-2487
(209) 478-1476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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