Individual
RENEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 GREENLAND DR, GOOSE CREEK, SC 29445-5354
(864) 605-1449
Mailing address
514 YELLOW LEAF LN, SUMMERVILLE, SC 29486-8493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8310
SC
Other
Enumeration date
11/27/2023
Last updated
01/09/2024
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