Provider Demographics
NPI:1669773339
Name:FOSTER, AARON (LMHC)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:FOSTER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WILDFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:PLACITAS
Mailing Address - State:NM
Mailing Address - Zip Code:87043-8337
Mailing Address - Country:US
Mailing Address - Phone:505-379-2826
Mailing Address - Fax:
Practice Address - Street 1:9 WILDFLOWER CT
Practice Address - Street 2:
Practice Address - City:PLACITAS
Practice Address - State:NM
Practice Address - Zip Code:87043-8337
Practice Address - Country:US
Practice Address - Phone:505-379-2826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health