Individual provider · Type 1 NPI

Connie Elaine Ferguson

Addiction (Substance Use Disorder) Counselor · Elizabethtown, KY

NPI number 1164554291 Active

Practice location

107 Cranes Roost Ct
Elizabethtown, KY 42701-3650

Call (270) 765-2605 Map

Fax (270) 234-8572

Specialties and licenses

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

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About NPI 1164554291

Connie Elaine Ferguson's National Provider Identifier is 1164554291, issued on Mar 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elizabethtown, KY. The record was last updated on Jul 8, 2007.