Individual
THOMAS FERYANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2652 MURPHY RD, PORTAGE, WI 53901-1094
(608) 742-9758
Mailing address
2652 MURPHY RD, PORTAGE, WI 53901-1094
(608) 742-9758
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6051-125
WI
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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