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Individual
PAUL DON FERGESON
Active
Individual
PAUL DON FERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA-PSYCH, AAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG61366933
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0710101785
CERTIFIED SUBSTANCE COUNSELOR
VA
01
—
0732002186
QUALITY MENTAL HEALTH PROFESSIONAL
VA
01
—
8434
CHEMICAL DEPENDENCY COUNSELOR II
AK
Enumeration date
09/14/2016
Last updated
11/02/2022
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