Individual
MR. BENJAMIN DORSEY FERGUSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
156 N LAKE DR, PRESTONSBURG, KY 41653-1270
(606) 506-5077
Mailing address
446 S CENTRAL AVE, PRESTONSBURG, KY 41653-7874
(606) 369-6399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1061
KY
101YM0800X
Mental Health Counselor
1360
KY
Other
Enumeration date
01/16/2014
Last updated
06/28/2019
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