Provider Demographics
NPI:1437366846
Name:FERGUSON, RICHARD A (LMHC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:FERGUSON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WHITE SPRUCE BLVD
Mailing Address - Street 2:SUITE L202
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1507
Mailing Address - Country:US
Mailing Address - Phone:585-292-6070
Mailing Address - Fax:585-292-6102
Practice Address - Street 1:100 WHITE SPRUCE BLVD
Practice Address - Street 2:SUITE L202
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1507
Practice Address - Country:US
Practice Address - Phone:585-292-6070
Practice Address - Fax:585-292-6102
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000651-1101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional