Individual
NICOLE MARIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-P
Contact information
Practice address
2478 GEORGE URBAN BLVD, DEPEW, NY 14043-2010
(716) 601-6220
Mailing address
473 N DIVISION ST, BUFFALO, NY 14204-1976
(716) 536-5051
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P118960
NY
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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