Individual
CARLY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
1832 ADAMS ST, TOLEDO, OH 43604-4428
(440) 260-6835
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2507083-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/02/2024
Last updated
08/27/2025
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