Individual
BRANDICE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N CARPENTER RD STE B, MODESTO, CA 95351-1185
(209) 523-4573
Mailing address
1700 MCHENRY VILLAGE WAY STE 11B, MODESTO, CA 95350-4341
(209) 572-2589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
161529
CA
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
BHS-MH
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2021
Last updated
02/10/2026
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