Organization
CHRISTINE ADALINE FERGUSON LSW, LICDC LLC
Active
Parent organization
CHRISTINE ADALINE FERGUSON, LSW-LICDC LLC
Other names
Key Counseling Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTINE ADALINE FERGUSON, LSW-LICDC LLC
Authorized official
CHRISTINE A FERGUSON LISW (DIRECTOR)
(216) 727-6410
Entity
Organization
Contact information
Practice address
16360 BROADWAY AVE STE B101, MAPLE HEIGHTS, OH 44137-2573
(216) 510-7170
(216) 510-7213
Mailing address
18320 MAPLEBORO AVE, MAPLE HEIGHTS, OH 44137-2768
(216) 727-6410
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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