Individual
BRANDI FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 E 7TH ST, LONG BEACH, CA 90804-4590
(562) 284-0108
Mailing address
2025 E 7TH ST, LONG BEACH, CA 90804-4590
(562) 284-0108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
05/30/2023
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