Provider Demographics
NPI:1649461989
Name:FERRO, MICHAEL P JR (MFTI)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:P
Last Name:FERRO
Suffix:JR
Gender:M
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4281 KNOLL AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-3024
Mailing Address - Country:US
Mailing Address - Phone:510-336-1078
Mailing Address - Fax:
Practice Address - Street 1:3775 BEACON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1465
Practice Address - Country:US
Practice Address - Phone:510-792-4964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health