| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DAE'JAH RENAE FOSTER | 1831628767 | 2024-04-29 |
Dae'jah Renae Foster is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831628767. Registration indicates Dae'jah Renae Foster is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) (Behavioral Health & Social Service Providers, Behavior Technician) (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Dae'jah Renae Foster MA2, AMFT |
| Practice Office Address | 2101 COURAGE DR FAIRFIELD, CA US |
| Practice Office Telephone | 7077844947 |
| Mailing Address | PO BOX 6303 VALLEJO, CA 945911303 US |
| Business Telephone | 5106188798 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4892 San Pablo Dam Rd | El Sobrante, CA 948033222 | 5102360444 |
| 800 S Broadway Ste 310 | Walnut Creek, CA 945965218 | 7076556483 |
| 508 Alabama St | Vallejo, CA 945904446 | 7075150083 |
| 390 40th St | Oakland, CA 946092633 | 5106535040 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 140268
CA |