MEDICARE: JANET FOSTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6628	SC

General Provider Information

NPI Number	:	1003338989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET FOSTER

Provider Business Mailing Address
First Line	:	8 DONZI CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-9061
Country	:	US
Telephone Number	:	803-422-4406
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 STONERIDGE DR STE 350
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-8258
Country	:	US
Telephone Number	:	803-779-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	03/17/2018

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Directions to “ JANET FOSTER ” Practice Location

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