Individual
MRS. AMANDA MICHELLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
114 S MAIN ST, NASHVILLE, AR 71852-2406
(870) 845-0033
Mailing address
126 PLEASANT FOREST DR, NASHVILLE, AR 71852-8584
(870) 845-0033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0707036
AR
Other
Enumeration date
03/14/2007
Last updated
10/16/2009
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