MR. WILDA ELAINE FERGUNSON MA NPI 1790912996

NPI Information

MR. Wilda Elaine Fergunson, MA is a counselor in San Luis Obispo, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Wilda Elaine Fergunson, MA NPI is 1790912996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3450 BROAD ST STE 104
SAN LUIS OBISPO, CA
ZIP 93401-214
Phone: (805) 762-4472

The enumeration date for this NPI number is 6/15/2009 and was last updated on 6/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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