Organization
MODERN YOUTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FERGUSON LMHCA (PROVIDER/OWNER)
(253) 335-6013
Entity
Organization
Contact information
Practice address
33309 1ST WAY S STE A-105, FEDERAL WAY, WA 98003-6260
(253) 335-6013
Mailing address
PO BOX 772, ENUMCLAW, WA 98022-0772
(253) 335-6013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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