Individual
MS. JENNIFER HORTENSE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9124 GRAVELLY LAKE DR SW, LAKES PLAZA SUITE 101, LAKEWOOD, WA 98499-3198
(253) 503-0236
(253) 503-0982
Mailing address
9124 GRAVELLY LAKE DR SW, LAKES PLAZA SUITE 101, LAKEWOOD, WA 98499-3198
(253) 503-0236
(253) 503-0982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CPOOOO5222
WA
106H00000X
Marriage & Family Therapist
Primary
LF60079410
WA
106H00000X
Marriage & Family Therapist
MG60171687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331-8907
—
WA
Enumeration date
12/03/2007
Last updated
09/19/2011
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