Kim Ferguson, LAC
NPI #1497576110 in Farmington, Arkansas
Provider Information
- NPI Number
- 1497576110
- Entity Type
- Individual
- Name
- Kim Ferguson, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LAC
- Enumeration Date
- Oct 24, 2024
- Last Updated
- Nov 21, 2024
Practice Location
- Address
- 128 SOUTHWINDS RD STE 5
- City
- Farmington
- State
- Arkansas
- ZIP Code
- 72730-8685
- Phone
- (479) 466-0716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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