Provider Demographics
NPI:1104367770
Name:FERGUSON, DANNY (LPC)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 MERRIMAN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5275
Mailing Address - Country:US
Mailing Address - Phone:330-618-4628
Mailing Address - Fax:
Practice Address - Street 1:1653 MERRIMAN RD STE 200
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5275
Practice Address - Country:US
Practice Address - Phone:330-618-4628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1200643101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor