Individual provider · Type 1 NPI

Tyler Ferguson

Mental Health Counselor · Randolph, MA

NPI number 1215215504 Active

Practice location

41 Pacella Park Dr
Randolph, MA 02368-1755

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1215215504

Tyler Ferguson's National Provider Identifier is 1215215504, issued on Aug 3, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Randolph, MA. The record was last updated on Aug 3, 2011.