Individual provider · Type 1 NPI

Timothy Ferguson

Addiction (Substance Use Disorder) Counselor · Brookings, OR

NPI number 1710507629 Active

Practice location

615 5th St
Brookings, OR 97415-9199

Call (541) 708-9581 Map

Specialties and licenses

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

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1710507629

Timothy Ferguson's National Provider Identifier is 1710507629, issued on Apr 21, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brookings, OR. The record was last updated on Sep 8, 2025.