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NPI Code Detail

MEDICARE: MS. AIDA S. FOERSTER LLPC

MEDICARE:  MS. AIDA S. FOERSTER  LLPC
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
1101YM0800XMental Health Counselor6401009929MI

General Provider Information

NPI Number : 1598831638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AIDA S. FOERSTER LLPC
Provider Business Mailing Address
First Line : 4882 RAPID RIVER AVE SW
Second Line :
City : GRANDVILLE
State : MI
Zip : 49418-8805
Country : US
Telephone Number : 616-485-2580
Fax Number :
Provider Business Practice Location Address
First Line : 1115 BALL AVE NE
Second Line : BUILDING C
City : GRAND RAPIDS
State : MI
Zip : 49505-5904
Country : US
Telephone Number : 616-459-7215
Fax Number : 616-451-0020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 02/14/2012

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Directions to “ MS. AIDA S. FOERSTER LLPC” Practice Location

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