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Mr. Wilda Elaine Fergunson, MA
Counselor in San Luis Obispo, California
NPI 1790912996

Wilda Elaine Fergunson is a Counselor based in San Luis Obispo, CA. Wilda Elaine Fergunson practices in San Luis Obispo, CA and has the professional credentials of MA. The NPI Number for Wilda Elaine Fergunson is 1790912996 and holds a License No. (California).

The current practice location address for Wilda Elaine Fergunson is 3450 Broad St Ste 104, San Luis Obispo, CA and can be reached out via phone at 805-762-4472.

Location: 3450 Broad St Ste 104, San Luis Obispo, CA, 93401-7214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790912996
Provider Name
Wilda Elaine Fergunson
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
3450 Broad St Ste 104, San Luis Obispo, CA, 93401-7214
Phone Number
805-762-4472
Fax Number
Provider Enumeration Date
06/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3450 Broad St Ste 104
City
San Luis Obispo
State
California
Zip
93401-7214
Phone Number
805-762-4472
Fax Number
person
Provider Business Mailing Address Details
Address
3450 Broad St Ste 104
City
San Luis Obispo
State
California
Zip
93401-7214
Phone Number
805-762-4472
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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