Individual
KELLEY D FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
970 RD 300 NW, 970 RD 300 NW, HAVRE, MT 59501-3106
(406) 390-0141
Mailing address
PO BOX 174, 970 RD 300 NW, HAVRE, MT 59501-0174
(406) 390-0141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
912
MT
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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