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NPI Code Detail

MEDICARE: CANDACE B FOSTER M.ED;ED.S;LPC

MEDICARE:   CANDACE B FOSTER  M.ED;ED.S;LPC
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
1101YP2500XProfessional Counselor1797SC

General Provider Information

NPI Number : 1326398553
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE B FOSTER M.ED;ED.S;LPC
Provider Business Mailing Address
First Line : 168 CHANNEL BLUFF AVENUE
Second Line :
City : PAWLEYS ISLAND
State : SC
Zip : 29585
Country : US
Telephone Number : 843-237-8688
Fax Number :
Provider Business Practice Location Address
First Line : 168 CHANNEL BLUFF AVE
Second Line :
City : PAWLEYS ISLAND
State : SC
Zip : 29585-5112
Country : US
Telephone Number : 843-237-8688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2012
Last Update Date : 09/14/2012

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Directions to “ CANDACE B FOSTER M.ED;ED.S;LPC” Practice Location

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