Individual
MARK A FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS MA
Contact information
Practice address
5706 TURNEY RD STE 200, GARFIELD HEIGHTS, OH 44125-3928
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(441) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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