Dominic D Foster, LPC-IT, SACIT
Counselor, Mental Health in Racine, WI. Individual provider (NPI-1).
NPI number1104309574
StatusActive
Last updated in NPPESSep 12, 2018
Details
- NPI
- 1104309574
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dominic D Foster
- Credential
- LPC-IT, SACIT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2018
- Last updated
- Sep 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | WI | Yes |
Practice location
1717 Taylor AveRacine, WI 53403-2405
Phone 262-638-6744
Mailing address
1717 Taylor AveRacine, WI 53403-2405
Phone 262-638-6744
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All 24 Mental Health Counselor providers in Racine · All 1,428 providers in Racine
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