Provider Demographics
NPI:1275341737
Name:FERGUSON, DENESHIA RENE' (BS, CADTP, CADC, QP)
Entity type:Individual
Prefix:
First Name:DENESHIA
Middle Name:RENE'
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:BS, CADTP, CADC, QP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 WOLFETRAIL RD APT 2H
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-9991
Mailing Address - Country:US
Mailing Address - Phone:910-644-7534
Mailing Address - Fax:
Practice Address - Street 1:130 WOLFETRAIL RD APT 2H
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-9991
Practice Address - Country:US
Practice Address - Phone:910-644-7534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)