Christine Adaline Ferguson Lsw, Licdc LLC
NPI #1326674052 in Maple Heights, Ohio
Provider Information
- NPI Number
- 1326674052
- Entity Type
- Organization
- Organization Name
- Christine Adaline Ferguson Lsw, Licdc LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 13, 2020
- Last Updated
- Nov 23, 2022
Practice Location
- Address
- 16360 BROADWAY AVE STE 21016360
- City
- Maple Heights
- State
- Ohio
- ZIP Code
- 44137-2555
- Phone
- (216) 865-5050
Authorized Official
- Name
- CHRISTINE A FERGUSON, LICDC 161363
- Title
- OWNER/PROVIDER
- Phone
- (216) 865-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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