Provider Demographics
NPI:1972778546
Name:FERGUSON, MADELEINE CASH (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MADELEINE
Middle Name:CASH
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75-166 KALANI ST STE 202
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1857
Mailing Address - Country:US
Mailing Address - Phone:808-327-2722
Mailing Address - Fax:808-327-2729
Practice Address - Street 1:73-4328 KEOKEO ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-8540
Practice Address - Country:US
Practice Address - Phone:808-325-5446
Practice Address - Fax:808-325-3435
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMTF 171106H00000X
CAMFC 29023106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist