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Individual
LONNIE FERGUSON
Active
Individual
LONNIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-R-39
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
120534
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/02/2015
Last updated
06/18/2026
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