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General NPI Number Information
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NPI Number | 1780149302
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Entity Type | Individual
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Provider Name | ASHLEY FERGUSON MS, LPC, AADC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1439 THUNDERBOLT DR
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City | WALTERBORO
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State | SC
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Zip | 29488-9341
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Country | US
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Telephone | 843-538-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 LOWCOUNTRY HWY
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City | YEMASSEE
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State | SC
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Zip | 29945-4628
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Country | US
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Telephone | 843-909-1670
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9721
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License Number State | SC
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