Ferguson, Glenn Eugene

Ferguson, Glenn Eugene is an individual health care provider with primary practice located at 206 S Coronado Ave , Espanola NM 87532-2792. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ferguson, Glenn Eugene can be contacted via phone (860) 788-6404.

Contact Information

Primary practice address
206 S Coronado Ave Espanola NM 87532-2792
Phone: (860) 788-6404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY.0004552 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 44SI00428700 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-2022-0061 New Mexico

Profile Details

NPI number 1922391994
LBN Legal business name Ferguson, Glenn Eugene
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated Jul 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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