Individual
MR. LEE ROBERT FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
660 GEORGE WASHINGTON WAY STE D, RICHLAND, WA 99352-4246
(509) 438-7139
(509) 713-7015
Mailing address
PO BOX 5582, PASCO, WA 99302-5501
(509) 438-7139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
LW60533326
WA
1041C0700X
Clinical Social Worker
Primary
LW60533326
WA
Other
Enumeration date
06/21/2012
Last updated
10/05/2021
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