Individual
MR. CHARLES ROBERT FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NBCC
Contact information
Practice address
17950 WOODWARD AVE, DETROIT, MI 48203-2260
(313) 401-0929
(131) 396-5353
Mailing address
17950 WOODWARD AVE, DETROIT, MI 48203-2260
(313) 401-0929
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
6401222909
MI
Other
Enumeration date
05/03/2013
Last updated
11/11/2024
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