Individual
ANTHONY FERGUSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6597
Mailing address
1409 CLARK ST, DES MOINES, IA 50314-1964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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