Individual
SHAUNDAWNA NICOLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA CIT
Contact information
Practice address
1200 W WALNUT ST, ROGERS, AR 72756-3521
(479) 636-0083
Mailing address
4155 N CHRYSLER DR, #3, FAYETTEVILLE, AR 72703-4871
(479) 530-1117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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