Provider Information for 1912235417
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REBEKAH FERGUSON LMHC
Sex: Female
NPI: 1912235417
Last Updated: 2019-09-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1912235417 | ||||||||||||
| Enumeration Date | 2009-11-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 19 W 85TH ST APT B NEW YORK, NY 10024-4131 United States Phone: 518-253-8294 | Fax: | ||||||||||||
| Primary Practice Address | 1824 MADISON AVE 2ND FLOOR NEW YORK, NY 10035-3832 United States Phone: 212-423-4200 | Fax: | ||||||||||||
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