Individual
HEATH GERALD FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 INTERSTATE 55 NORTH FRONTAGE ROAD, JACKSON, MS 39211
(601) 405-7440
Mailing address
142 NESLING COVE, MADISON, MS 39110
(601) 757-9215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0598
MS
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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