Foster, Dae'Jah Renae
Foster, Dae'Jah Renae is an individual health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533-6717. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Foster, Dae'Jah Renae can be contacted via phone (707) 784-4947.Contact Information
Primary practice address
2101 Courage Dr
Fairfield CA 94533-6717
Phone: (707) 784-4947
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 140268 | California |
Profile Details
NPI number | 1831628767 |
---|---|
LBN Legal business name | Foster, Dae'Jah Renae |
Credentials | MA2, AMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2017 |
Last updated | Apr 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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