Individual
KATRINA HOPE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(612) 871-0118
(612) 870-2403
Mailing address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(612) 871-0118
(612) 870-2403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305526
MN
103G00000X
Clinical Neuropsychologist
3631
MN
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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