Individual
MRS. CHELSEA SHANNON FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3630
(918) 872-1111
Mailing address
4323 E 5TH ST, TULSA, OK 74112-2713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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