Individual
MR. AARON PAUL FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
600 W VIRGINIA ST, SUITE 203, MILWAUKEE, WI 53204-1500
(414) 831-4500
Mailing address
11112 N BUNTROCK AVE, MEQUON, WI 53092-4342
(440) 840-1786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16439-130
WI
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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