MR. Jefferson David Ferguson, LPC

NPI #1164533147 in Pewaukee, Wisconsin

Provider Information

NPI Number
1164533147
Entity Type
Individual
Name
MR. Jefferson David Ferguson, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Aug 31, 2006
Last Updated
Sep 10, 2024

Practice Location

Address
353 FOREST GROVE DR STE 100
ZIP Code
53072-3765
Phone
(262) 719-9470

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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