Jennifer Hortense Ferguson in Lakewood - Addiction (substance Use Disorder)

Jennifer Hortense Ferguson - NPI 1669654505

Jennifer Hortense Ferguson is a Addiction (substance Use Disorder) in Lakewood, Washington. Jennifer Hortense Ferguson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jennifer Hortense Ferguson is 1669654505. The last update date is 2011-09-19.

Jennifer Hortense Ferguson's current location address is 9124 Gravelly Lake Dr Sw, Lakewood, Washington. You can contact this provider via phone number 2535030236 and fax number 2535030982. The mailing address for Jennifer Hortense Ferguson is 9124 Gravelly Lake Dr Sw, Lakewood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Hortense Ferguson
Address 9124 Gravelly Lake Dr Sw, Lakewood, Washington
Phone Number 2535030236
Fax Number 2535030982
Sole Proprietor N
Credentials LMFT

NPI Number Detail

NPI Number 1669654505
Provider Enumeration Date 2007-12-03
Last Updated Date 2011-09-19

Provider Mailing Address Detail

Address 9124 Gravelly Lake Dr Sw
City Lakewood
State Washington (WA)
Post Code 984993198
Phone Number 2535030236
Fax Number 2535030982

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CPOOOO5222
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
331-8907 WA --

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FAQs about Jennifer Hortense Ferguson

What is the unique identification code assigned to Jennifer Hortense Ferguson by the Centers for Medicare & Medicaid Services?

The Jennifer Hortense Ferguson has been issued the NPI (National Provider Identifier) 1669654505. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jennifer Hortense Ferguson is geographically located?

The Jennifer Hortense Ferguson is physically situated at the following location: 9124 Gravelly Lake Dr Sw, Lakewood, WA, 984993198.

What is Jennifer Hortense Ferguson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jennifer Hortense Ferguson's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Jennifer Hortense Ferguson receive its 1669654505 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Hortense Ferguson was assigned its 1669654505 by the Centers for Medicare & Medicaid Services on 2007-12-03.

When was the information related to Jennifer Hortense Ferguson most recently updated or refreshed?

The details pertaining to the Jennifer Hortense Ferguson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-19.

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