Ethan Mark Fergon
Ethan Mark Fergon is a Community Health Worker in Vallejo, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
908 Tuolumne StVallejo, CA 94590-4641
Phone: (707) 648-8121
Fax: (707) 648-8129
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (CA) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X (CA) |
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1972383750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 29, 2023 |
| Last updated in NPPES | May 5, 2025 |
| Certification date | May 5, 2025 |
| Mailing address | 908 Tuolumne St, Vallejo, CA 94590-4641 |
Other providers in Vallejo
-
Bianca Castellanos
160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7290 · (707) 648-2000
-
Breanna N Clark
160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7290 · (707) 648-2000
-
Rachel Close
908 Tuolumne St, Vallejo, CA 94590-4641 · (707) 648-8121
-
Ike Lenard Davis Jr.
160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7290 · (707) 648-2000
-
Alexander Sampaga Fernandez
355 Tuolumne St Ste 1400, Vallejo, CA 94590-5700 · (707) 553-5331
-
Brandi Flores
3467 Edgewater Pl, Vallejo, CA 94591-8398 · (707) 980-1052
-
Ijani Briana Gillespie
3467 Edgewater Pl, Vallejo, CA 94591-8398 · (707) 570-8953
-
Dionne Sharice Goree
160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7290 · (707) 648-2000