ETHAN FERGON

Counselor

Active Individual
NPI: 1972383750

Practice Address

908 TUOLUMNE ST
Vallejo, CA 94590

Phone: (707) 648-8121

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X No -
Adult Companion 372600000X No -
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1972383750 is the National Provider Identifier for ETHAN FERGON, a Counselor provider located in Vallejo, CA. This NPI was enumerated on September 29, 2023.
ETHAN FERGON practices at 908 TUOLUMNE ST, Vallejo, CA 94590.

Quick Facts

NPI
1972383750
Type
Individual
Enumerated
Sep 29, 2023
Last Updated
May 5, 2025

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