Doctor Name: | MRS. DEBRA HUTTON FERGUSON |
NPI Number: | 1114219177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 7780 |
Business Practice Address: | 400 Denim Dr Erwin, NC - 283392204 |
Business Phone Number: | 9108978930 |
Business Fax Number: | 9108978932 |
Mailing Address: | 400 Denim Dr, ERWIN |
State: | NC |
Postal Code: | 283392204 |
Phone Number: | 9108978930 |
Fax Number: | 9108978932 |
NPI Enumeration Date: | 05/10/2011 |
NPI Last Update Date: | 10/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 7780 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |