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Individual

REBECCA AUTUMN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
2112 W HUNTSVILLE AVE STE B, SPRINGDALE, AR 72762-2600
(479) 334-7293
(479) 358-1476
Mailing address
2112 W HUNTSVILLE AVE STE B, SPRINGDALE, AR 72762-2600
(479) 334-7293
(479) 358-1476

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P2109004
AR
101YM0800X
Mental Health Counselor
AR
101YP2500X
Professional Counselor
Primary
P2109004
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992484430
NPI2
AR
Enumeration date
02/12/2020
Last updated
05/02/2026
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