Individual
MRS. BRANDI LYNN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A. B.H.R.S. C.M.-A
Contact information
Practice address
2000 E LINCOLN RD, BOX 1527, IDABEL, OK 74745-7353
(580) 286-6639
(580) 286-5206
Mailing address
2000 E LINCOLN RD, P.O. BOX 1527, IDABEL, OK 74745-7353
(580) 286-6639
(580) 286-5206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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