Most Relevant Information
Provider Data
| NPI Number: | 1003318460 |
| Provider Name: | TAMI FOSTER MFT INTERN |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 99375 |
Most Important Dates
| Enumeration Date: | 03/01/2018 |
| Last Updated: | 03/01/2018 |
Provider Practice Location
301 CHESTNUT ST
MOUNT SHASTA
CA
960672214
Practice Location Phone/Fax
| Phone: | 5309261436 |
| Fax: | 5309262305 |
Provider Mailing Location
301 CHESTNUT ST
MOUNT SHASTA
CA
960672214
Provider Mailing Phone/Fax
| Phone: | 5309261436 |
| Fax: | 5309262305 |