Carol Foster, LAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Box Elder, MT

NPI 1770997199 · NPPES record last updated Jun 13, 2014

Key facts

NPI
1770997199
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
3481 (MT)
Practice address
535 Clinic Rd E
Box Elder, MT 59521-8826
Phone
(406) 395-4818
Fax
(406) 395-4861
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3481MTMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3481 MT Yes

Addresses

Primary practice location

535 Clinic Rd E
Box Elder, MT 59521-8826

Mailing address

535 Clinic Rd E
Box Elder, MT 59521-8826
Phone (406) 395-4818

Other providers in Box Elder, MT

All providers in Box Elder, MT · Addiction (Substance Use Disorder) Counselor in Montana

Sources for this page

Verify at the official NPI Registry.