Individual
JOAN D. GREEN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED, LMHC
Contact information
Practice address
38122 307TH AVE SE, ENUMCLAW, WA 98022-9643
(206) 331-6608
Mailing address
PO BOX 123, ENUMCLAW, WA 98022-0123
(206) 331-6608
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
60024103
WA
Other
Enumeration date
11/14/2007
Last updated
07/08/2024
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