Organization
CHRISTINE ADALINE FERGUSON LSW, LICDC LLC
Active
Other names
Key Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE A FERGUSON LICDC 161363 (OWNER/PROVIDER)
(216) 865-5050
Entity
Organization
Contact information
Practice address
16360 BROADWAY AVE STE 21016360, MAPLE HEIGHTS, OH 44137-2555
(216) 865-5050
Mailing address
16360 BROADWAY AVE STE 21016360, MAPLE HEIGHTS, OH 44137-2555
(216) 865-5050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
11/23/2022
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