Individual
MISS KRISTIN LEA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
7701 ZERO ST, FORT SMITH, AR 72903-6644
(479) 478-5478
(479) 478-5670
Mailing address
7701 ZERO ST, FORT SMITH, AR 72903-6644
(479) 478-5478
(479) 478-5670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1204035
AR
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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