person
Timothy Ferguson
Addiction (Substance Use Disorder) Counselor in Trenton, New Jersey
NPI 1750704060

Timothy Ferguson is an Addiction (Substance Use Disorder) Counselor based in Trenton, NJ and is specialized in Addiction (Substance Use Disorder). Timothy Ferguson practices in Trenton, NJ. The NPI Number for Timothy Ferguson is 1750704060 and holds a License No. (New Jersey).

The current practice location address for Timothy Ferguson is 132 Perry St, Trenton, NJ and can be reached out via phone at 609-394-8988.

Location: 132 Perry St, Trenton, NJ, 08618-3968
person
Provider Profile Details
NPI Number
1750704060
Provider Name
Timothy Ferguson
Credential
Provider Entity Type
Individual
Gender
Male
Address
132 Perry St, Trenton, NJ, 08618-3968
Phone Number
609-394-8988
Fax Number
Provider Enumeration Date
01/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0102903 01 NJ NJ MEDICAID PROVIDER
215114000 01 NJ MAGELLAN MIS
7603606 01 NJ WFNJ-SAI GROUP
2000078 01 NJ DHS LICENSE AMBULATORY
2000345-MV1-10 01 NJ DHS DMHAS MOBILE UNIT
183739 01 NJ YBA4
NJ-10046-M 01 NJ SUBSTANCE ABUSE AND MENTAL HEALTH
2000345 01 NJ DHS LICENSE AMBULATORY CARE
institution
Provider Business Practice Location Address Details
Address
132 Perry St
City
State
Zip
08618-3968
Phone Number
609-394-8988
Fax Number
person
Provider Business Mailing Address Details
Address
132 Perry St
City
State
Zip
08618-3968
Phone Number
609-394-8988
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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