Provider Demographics
NPI:1578841870
Name:FOSTER, ALEXANDER EUGENE (LMHC)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:EUGENE
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 1:15604 65TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-9228
Mailing Address - Country:US
Mailing Address - Phone:253-230-1362
Mailing Address - Fax:
Practice Address - Street 1:15604 65TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-9228
Practice Address - Country:US
Practice Address - Phone:253-230-1362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60928162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health