| Doctor Name: | PAMELA FERGUSON |
| NPI Number: | 1891060794 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, NCC, LPC |
| License Number: | 37PC00314600 |
| Business Practice Address: | 33 Harmon Pl North Haledon, NJ - 075082320 |
| Business Phone Number: | 9734231541 |
| Business Fax Number: | |
| Mailing Address: | 33 Harmon Pl, NORTH HALEDON |
| State: | NJ |
| Postal Code: | 075082320 |
| Phone Number: | 9734231541 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2012 |
| NPI Last Update Date: | 03/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00314600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |