Individual
MR. JEFFERSON DAVID FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(262) 719-9470
(262) 691-2972
Mailing address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(262) 719-9470
(262) 691-2972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4885-125
WI
Other
Enumeration date
08/31/2006
Last updated
09/10/2024
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