Provider Demographics
NPI:1043539588
Name:FOSTER-WOLFE, SUZANNE CHRISTINE (LPC, LCADC, NCC, DCC)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:CHRISTINE
Last Name:FOSTER-WOLFE
Suffix:
Gender:F
Credentials:LPC, LCADC, NCC, DCC
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:C
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCADC, NCC, DCC
Mailing Address - Street 1:318 FORREST LN
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-3328
Mailing Address - Country:US
Mailing Address - Phone:856-975-6616
Mailing Address - Fax:
Practice Address - Street 1:318 FORREST LN
Practice Address - Street 2:
Practice Address - City:SWEDESBORO
Practice Address - State:NJ
Practice Address - Zip Code:08085
Practice Address - Country:US
Practice Address - Phone:856-975-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00188200101YA0400X
NJ37PC00451200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)