Individual
DR. MITCHELL RAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD LPC NCC
Contact information
Practice address
2550 NORTHWINDS PARKWAY, SUITE 400, ALPHARETTA, GA 30004
(678) 319-3711
Mailing address
3215 CAPE CIRCLE, ALPHARETTA, GA 30004
(770) 555-1111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC04070
GA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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