Individual
KIMBERLY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 LINDALE AVE STE ABCD, BATON ROUGE, LA 70815-4161
(225) 442-3540
Mailing address
9420 LINDALE AVE STE ABCD, BATON ROUGE, LA 70815-4161
(225) 442-3540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
104100000X
Social Worker
Primary
11034
LA
Other
Enumeration date
02/20/2024
Last updated
04/22/2026
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