Individual
CRAIGIRITA RANDIANNE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2630 W BROWARD BLVD STE 203-1235, FORT LAUDERDALE, FL 33312-1314
(954) 673-7727
Mailing address
2720 SOMERSET DR APT 106, LAUDERDALE LAKES, FL 33311-8502
(954) 673-7727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW22873
FL
101YM0800X
Mental Health Counselor
SW22873
FL
101YP2500X
Professional Counselor
SW22873
FL
101YS0200X
School Counselor
SW22873
FL
104100000X
Social Worker
SW22873
FL
1041C0700X
Clinical Social Worker
Primary
SW22873
FL
1041S0200X
School Social Worker
SW22873
FL
Other
Enumeration date
04/22/2024
Last updated
04/23/2024
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