Healthcare Provider Details

I. General information

NPI: 1952227316
Provider Name (Legal Business Name): SERENA JEAN FOSTER LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9921 N NEVADA ST STE 103
SPOKANE WA
99218-1145
US

IV. Provider business mailing address

4719 W GARDEN SPRINGS RD APT A204
SPOKANE WA
99224-4869
US

V. Phone/Fax

Practice location:
  • Phone: 509-509-9088
  • Fax: 509-593-8113
Mailing address:
  • Phone: 509-509-9088
  • Fax: 509-593-8113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70120425
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: