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Individual

CHARLES FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4739 MAGAZINE ST, NEW ORLEANS, LA 70115-1630
(504) 309-2533
Mailing address
4739 MAGAZINE ST, NEW ORLEANS, LA 70115-1630
(504) 309-2533

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LA

Other

Enumeration date
04/13/2016
Last updated
11/30/2016
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