Provider Demographics
NPI:1124268115
Name:FERIL, CARL C JR (LCMFT)
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:C
Last Name:FERIL
Suffix:JR
Gender:M
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 N EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:KS
Mailing Address - Zip Code:67576-1627
Mailing Address - Country:US
Mailing Address - Phone:620-546-3807
Mailing Address - Fax:
Practice Address - Street 1:608 N EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:SAINT JOHN
Practice Address - State:KS
Practice Address - Zip Code:67576-1627
Practice Address - Country:US
Practice Address - Phone:620-546-3807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS665106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist