Individual
DARIAN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8807 ELI DR, LOUISVILLE, KY 40291-3187
(502) 649-4407
Mailing address
8807 ELI DR, LOUISVILLE, KY 40291-3187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
246477
KY
101YP2500X
Professional Counselor
Primary
246477
KY
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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