Individual provider · Type 1 NPI

Dominic D. Foster, LPC-IT, SACIT

Mental Health Counselor · Racine, WI

NPI number 1104309574 Active

Practice location

1717 Taylor Ave
Racine, WI 53403-2405

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1104309574

Dominic D. Foster, LPC-IT, SACIT's National Provider Identifier is 1104309574, issued on Sep 12, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Racine, WI. The record was last updated on Sep 12, 2018.