person
Dian Clair Ferguson, MED
Mental Health Counselor in West Hartford, Connecticut
NPI 1952012759

Dian Clair Ferguson is a Mental Health Counselor based in West Hartford, CT and is specialized in Mental Health. Dian Clair Ferguson practices in West Hartford, CT and has the professional credentials of MED. The NPI Number for Dian Clair Ferguson is 1952012759 and holds a License No. 5939 (Connecticut).

The current practice location address for Dian Clair Ferguson is 229 Quaker Ln S Apt 3, West Hartford, CT and can be reached out via phone at 860-899-5366.

Location: 229 Quaker Ln S Apt 3, West Hartford, CT, 06119-1940
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Provider Profile Details
NPI Number
1952012759
Provider Name
Dian Clair Ferguson
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
229 Quaker Ln S Apt 3, West Hartford, CT, 06119-1940
Phone Number
860-899-5366
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001 01 CT LPC/A CERTIFICATION
EIN 01 CT 85-3923925
5939 01 CT LPC/A CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
229 Quaker Ln S Apt 3
City
State
Zip
06119-1940
Phone Number
860-899-5366
Fax Number
person
Provider Business Mailing Address Details
Address
229 Quaker Ln S Apt 3
City
State
Zip
06119-1940
Phone Number
860-899-5366
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5939 (Connecticut)
Definition
Definition to come...
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