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Individual
JENNIFER LEE FERGUSON
Active
Individual
JENNIFER LEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26742
IL
1041C0700X
Clinical Social Worker
007831
IA
1041C0700X
Clinical Social Worker
Primary
149.017885
IL
1041C0700X
Clinical Social Worker
34961
MN
Other
Enumeration date
02/20/2008
Last updated
09/02/2025
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