MEDICARE: EMILY ELIZABETH FOISTER M.A.,LMHC, CDP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP60669909	WA
2	101YM0800X	Mental Health Counselor	LH60710617	WA

General Provider Information

NPI Number	:	1740545458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ELIZABETH FOISTER M.A.,LMHC, CDP

Provider Business Mailing Address
First Line	:	5 HUCKLEBERRY CT
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98229-7866
Country	:	US
Telephone Number	:	360-918-2312
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 E HOLLY ST STE 318
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4728
Country	:	US
Telephone Number	:	360-918-2312
Fax Number	:

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

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	11/16/2019

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