Individual
MICHAEL WAYNE FERGUSON JR.
Active
Individual
MICHAEL WAYNE FERGUSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LISAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-155236
AZ
1041C0700X
Clinical Social Worker
CSW009914
GA
1041C0700X
Clinical Social Worker
Primary
LCSW-19807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW009914
LCSW
GA
01
—
LCSW-19807
LCSW
AZ
01
—
LISAC-155236
LISAC
AZ
Enumeration date
06/14/2016
Last updated
08/19/2026
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