Individual
DR. FERLICIA FERGUSSON-PRUDENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LMHC
Contact information
Practice address
309 E MAIN ST STE 5, AUBURN, WA 98002-5540
(253) 434-3825
Mailing address
309 E MAIN ST STE 5, AUBURN, WA 98002-5540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC6081228
WA
103TC0700X
Clinical Psychologist
Primary
PY61370639
WA
Other
Enumeration date
08/27/2018
Last updated
06/14/2024
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