Individual provider · Type 1 NPI
Carlton Edward Ferguson, CADC #31124
Addiction (Substance Use Disorder) Counselor · Chicago, IL
NPI number
1407677941
Active
Practice location
614 W Marquette Rd Apt 1A
Chicago, IL 60621-2765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 31124 (IL) |
| Marriage & Family Therapist | 106H00000X | 31124 (IL) |
| Case Manager/Care Coordinator | 171M00000X | 31124 (IL) |
| Community Health Worker | 172V00000X | 31124 (IL) |
| Peer Specialist | 175T00000X | 31124 (IL) |
| Exclusive Provider Organization | 302F00000X | 31124 (IL) |
| Point of Service | 305S00000X | 31124 (IL) |
| Prevention Professional | 405300000X | 31124 (IL) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 31124 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407677941
Carlton Edward Ferguson, CADC #31124's National Provider Identifier is 1407677941, issued on Oct 17, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Oct 19, 2024.