Ferguson, Michael Wayne

Ferguson, Michael Wayne is an individual health care provider with primary practice located at 19636 N 27Th Ave Ste 106 , Phoenix AZ 85027-4014. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ferguson, Michael Wayne can be contacted via phone (480) 372-3286.

Contact Information

Primary practice address
19636 N 27Th Ave Ste 106 Phoenix AZ 85027-4014
Phone: (480) 372-3286
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-19807 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-155236 Arizona

Profile Details

NPI number 1255781902
LBN Legal business name Ferguson, Michael Wayne
Credentials LCSW, LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2016
Last updated Mar 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255781902 NPPES
Arizona Other LISAC-155236 LISAC
Arizona Other LCSW-19807 LISAC

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