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Individual

ESTELLA BERNIECE FERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSWA

Contact information

Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
5456 FOXWOOD DR NE, RIEGELWOOD, NC 28456-9303
(740) 821-0542

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC131169
OH
104100000X
Social Worker
S1502368
OH
1041C0700X
Clinical Social Worker
Primary
P011411
NC

Other

Enumeration date
07/14/2016
Last updated
10/31/2017
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