MICHEL FERGUSON

VENICE, CA
NPI1750926408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-11-15
Last Update Date2019-11-15
Business Address
MICHEL FERGUSON
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 626-465-5667
Mailing Address
MICHEL FERGUSON
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: