Organization
CASEY FERGUSON LPC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY ELIZABETH FERGUSON (OWNER)
(540) 505-2986
Entity
Organization
Contact information
Practice address
6580 VALLEY CENTER DR STE 169, RADFORD, VA 24141-5694
(540) 505-2986
(540) 380-0079
Mailing address
6580 VALLEY CENTER DR STE 169, RADFORD, VA 24141-5694
(540) 505-2986
(540) 380-0079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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