NPI | 1992156608 |
---|---|
Other Name | RICK LEE FERGUSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 14-CRM-047) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-I-004527) |
175T00000X Peer Specialist (Licence: OR THW000000872) | |
Enumeration Date | 2016-06-23 |
Last Update Date | 2024-08-07 |