Individual
MRS. PHYLLIS ANNETTE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401001683
MI
104100000X
Social Worker
6801013350
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170021
VALUE OPTIONS
MI
01
—
8008927900
BLUE CROSS
MI
Enumeration date
06/27/2006
Last updated
09/11/2025
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