Individual
GLENISE M FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-5625
(719) 636-2122
(719) 636-1116
Mailing address
926 PISTOL RIVER WAY, COLORADO SPRINGS, CO 80921-3811
(254) 458-5940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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