Individual
CARY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Mailing address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003989A
IN
101YM0800X
Mental Health Counselor
LPC.0012005
CO
Other
Enumeration date
04/18/2014
Last updated
08/06/2021
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