Individual provider · Type 1 NPI

Danielle Ferguson

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1104192624 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Mailing address

2978 Blair St Apt 7
Salt Lake City, UT 84115

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1104192624

Danielle Ferguson's National Provider Identifier is 1104192624, issued on Mar 29, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 29, 2012.