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Individual

MR. ALFONSO FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A. MHC

Contact information

Practice address
19 W 34TH ST, PENTHOUSE, NEW YORK, NY 10001-3006
(646) 629-8351
Mailing address
2340 ADAM CLAYTON POWELL JR BLVD, 22, NEW YORK, NY 10030-2304
(954) 494-8327

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007195
NY
101YM0800X
Mental Health Counselor
Primary
P94437
NY

Other

Enumeration date
10/01/2014
Last updated
08/22/2016
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