Individual
DAVID ROY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1102 S MAIN ST, RIGGINS, ID 83549-9700
(208) 484-4609
(208) 345-3502
Mailing address
954 SLATE CREEK RD, WHITE BIRD, ID 83554-5040
(208) 484-4609
(208) 467-4684
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC245
ID
Other
Enumeration date
03/31/2006
Last updated
06/12/2024
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