Individual
ANDRA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LGPC
Contact information
Practice address
3400 MARTIN LUTHER KING JR AVE SE # 300, WASHINGTON, DC 20032-1542
(202) 724-7666
Mailing address
3400 MARTIN LUTHER KING JR AVE SE # 300, WASHINGTON, DC 20032-1542
(202) 724-7666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
03/31/2026
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