Individual
AMY ELISABETH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 MELLUS ST, MARTINEZ, CA 94553-1745
(925) 229-0230
Mailing address
904 MELLUS ST, MARTINEZ, CA 94553-1745
(925) 229-0230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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