Individual
KIM FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
128 SOUTHWINDS RD STE 5, FARMINGTON, AR 72730-8685
(479) 466-0716
Mailing address
7302 W JOHN GARRISON RD, FAYETTEVILLE, AR 72704-9475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2001016
AR
Other
Enumeration date
10/24/2024
Last updated
11/21/2024
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