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General NPI Number Information
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NPI Number | 1477071413
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Entity Type | Individual
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Provider Name | SARAH ROESCH FERGUSON LPC/MHSP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1200 DIVISION ST STE 405
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City | NASHVILLE
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State | TN
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Zip | 37203-4495
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Country | US
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Telephone | 615-274-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 4235 HILLSBORO PIKE SUITE 300
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City | NASHVILLE
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State | TN
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Zip | 37215
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Country | US
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Telephone | 615-274-8400
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 275
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13066
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61395487
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0134700TELE
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13305
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 701013880
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4823
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License Number State | TN
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