| Crystal Foster Licensed Mental Health Counselor Pllc | |
|
805 Ridge Rd Ste 201 Webster NY 14580-2410 | |
| (585) 204-7790 | |
| Not Available |
| Full Name | Crystal Foster Licensed Mental Health Counselor Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 805 Ridge Rd Ste 201, Webster, New York |
| Authorized Official Name and Position | Crystal Nancy Foster (OWNER) |
| Authorized Official Contact | 5852047790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Foster Licensed Mental Health Counselor Pllc 805 Ridge Rd Ste 201 Webster NY 14580-2410 Ph: (585) 204-7790 | Crystal Foster Licensed Mental Health Counselor Pllc 805 Ridge Rd Ste 201 Webster NY 14580-2410 Ph: (585) 204-7790 |
| NPI Number | 1093383184 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093383184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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