RAELYNN ILA IRENE FOSTER


Address: 401 Stinson St Apt 8, Vallejo, CA 94591-6416
Phone: 3603466581

RAELYNN ILA IRENE FOSTER (NPI# 1841845500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841845500
Entity Type Individual
Full Name RAELYNN ILA IRENE FOSTER
Practice Address 401 Stinson St Apt 8
Vallejo
CA 94591-6416
Practice Telephone 3603466581
Mailing Telephone 3603466581
Enumeration Date 2019-08-08
Last Update Date 2019-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 401 STINSON ST APT 8
City VALLEJO
State CA
Zip Code 94591-6416

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City VALLEJO
Zip Code 94591

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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