Individual
RICHARD LEE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 577-5881
Mailing address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 577-5881
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
249435
OH
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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