Individual provider · Type 1 NPI

Kellie W. Foster

Mental Health Counselor · Lake City, FL

NPI number 1407229883 Active

Practice location

439 SW Michigan St
Lake City, FL 32025-0440

Mailing address

4300 SW 13th St
Gainesville, FL 32608-4006

Other practice locations

  • 4300 SW 13th St, Gainesville, FL 32608-4006 · (352) 374-5600

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XIMH 13298 (FL)
Mental Health Counselor Primary 101YM0800XMH18250 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1407229883

Kellie W. Foster's National Provider Identifier is 1407229883, issued on Nov 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake City, FL. The record was last updated on Aug 10, 2020.