Individual
MS. CASEY ELIZABETH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6580 VALLEY CENTER DR STE 169, FAIRLAWN, VA 24141-5694
(540) 505-2986
Mailing address
2795 HAYNES RD, PULASKI, VA 24301-5068
(540) 505-2986
(540) 380-0079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701004402
VA
101YM0800X
Mental Health Counselor
07010044002
VA
101YP2500X
Professional Counselor
Primary
0701004402
VA
Other
Enumeration date
10/02/2008
Last updated
10/01/2024
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