Richard Jack Foss, LSW, CPRS

NPI #1205340718 in Mentor, Ohio

Provider Information

NPI Number: 1205340718
Entity Type: Individual
Name: Richard Jack Foss, LSW, CPRS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW, CPRS
Enumeration Date: Nov 20, 2017
Last Updated: Aug 17, 2021

Practice Location

Address: 7232 JUSTIN WAY
City: Mentor
State: Ohio
ZIP Code: 44060-4881
Phone: (440) 578-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Peer Specialist	175T00000X
Social Worker	104100000X	Primary

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