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Ms. Tyra Lakia Ferguson, MA
Addiction (Substance Use Disorder) Counselor in Longwood, Florida
NPI 1780379198

Tyra Lakia Ferguson is an Addiction (Substance Use Disorder) Counselor based in Casselberry, FL and is specialized in Addiction (Substance Use Disorder). Tyra Lakia Ferguson practices in Longwood, FL and has the professional credentials of MA. The NPI Number for Tyra Lakia Ferguson is 1780379198 and holds a License No. (Florida).

The current practice location address for Tyra Lakia Ferguson is 651 W Warren Ave Ste 100, Longwood, FL and can be reached out via phone at 786-306-0177.

Location: 651 W Warren Ave Ste 100, Longwood, FL, 32707-9001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780379198
Provider Name
Tyra Lakia Ferguson
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
651 W Warren Ave Ste 100, Longwood, FL, 32707-9001
Phone Number
786-306-0177
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
651 W Warren Ave Ste 100
City
Longwood
State
Florida
Zip
32750-4036
Phone Number
786-306-0177
Fax Number
person
Provider Business Mailing Address Details
Address
651 W Warren Ave Ste 100
City
Longwood
State
Florida
Zip
32750-4036
Phone Number
786-306-0177
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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