Most Relevant Information
Provider Data
| NPI Number: | 1003357641 |
| Provider Name: | DYLAN JAY FOSTER LLPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6451015391 |
Most Important Dates
| Enumeration Date: | 03/15/2017 |
| Last Updated: | 12/20/2022 |
Provider Practice Location
7142 CHIMNEY HILL DR
APT 3205
WEST BLOOMFIELD
MI
483224535
Practice Location Phone/Fax
| Phone: | 2319208749 |
| Fax: |
Provider Mailing Location
7185 PRIMROSE LN
GRAND BLANC
MI
484392329
Provider Mailing Phone/Fax
| Phone: | 2319208749 |
| Fax: |