Timothy James Ferguson, MS, LCAS-A, CADC-I
Counselor, Addiction (Substance Use Disorder) in Charlotte, NC. Individual provider (NPI-1).
NPI number1801700950
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1801700950
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy James Ferguson
- Credential
- MS, LCAS-A, CADC-I
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2026
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-31760 | NC | Yes |
Practice location
17137 Soho DrCharlotte, NC 28204-3574
Phone 843-301-4461
Mailing address
17137 Soho DrCharlotte, NC 28204-3574
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