Provider Demographics
NPI:1639855489
Name:FERGUSON-MAPPUS, CATHERINE DUN (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:DUN
Last Name:FERGUSON-MAPPUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 FOUNTAINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-1907
Mailing Address - Country:US
Mailing Address - Phone:512-308-7841
Mailing Address - Fax:
Practice Address - Street 1:2006 FOUNTAINWOOD DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-1907
Practice Address - Country:US
Practice Address - Phone:512-308-7841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health