Individual
LYDIA KAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
402 E MAIN ST, BEDFORD, VA 24523-2017
(434) 533-1088
Mailing address
3631 THAXTON MOUNTAIN RD, BEDFORD, VA 24523-5485
(434) 515-3576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011264
VA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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