Individual
KARON T FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MAC
Contact information
Practice address
646 OLD PHOENIX RD STE I, EATONTON, GA 31024-5007
(706) 623-2334
(706) 243-6402
Mailing address
646 OLD PHOENIX RD STE I, EATONTON, GA 31024-5007
(706) 623-2334
(706) 243-6402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007726
GA
Other
Enumeration date
06/21/2011
Last updated
03/17/2018
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