Individual
DANIELLE NICHOLE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, APC, NCC
Contact information
Practice address
555 SUN VALLEY DR STE M2, ROSWELL, GA 30076-5631
(678) 381-1687
Mailing address
104 SHERWOOD CT, WARNER ROBINS, GA 31093-1632
(478) 396-9968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007173
GA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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