Individual
ANNE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
10700 STATE BRIDGE RD, #6, JOHNS CREEK, GA 30022-7491
(612) 865-0281
Mailing address
9401 ROBERTS DR APT 13F, SANDY SPRINGS, GA 30350-1521
(612) 865-0281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
804
GA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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