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General NPI Number Information
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NPI Number | 1629413992
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Entity Type | Individual
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Provider Name | CATHY C FOSTER M.ED., NCC, NCSC, LP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 630 FRIARS POINT RD SUITE E
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City | CLARKSDALE
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State | MS
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Zip | 38614-9161
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Country | US
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Telephone | 662-902-7651
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Fax |
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Provider Business Mailing Address
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Address Line | 552 SHADY RIDGE RD
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City | CLARKSDALE
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State | MS
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Zip | 38614-8000
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Country | US
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Telephone | 662-902-7651
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1341
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License Number State | MS
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