# STEPHEN RANDALL FERGUSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487245627
- **Gender:** Man
- **Credential:** LAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | BBH-LAC-LIC-43978 | MT | Yes |
| 101YM0800X | Mental Health Counselor | BBH-SWLC-LIC-44257 | MT | — |

## Other

- **Enumeration date:** 01/31/2021
- **Last updated:** 01/31/2021