Individual
MRS. STEPHANIE MARIE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40 JEWELERS PARK DR STE 200, NEENAH, WI 54956-3893
(920) 486-6595
(920) 486-6013
Mailing address
40 JEWELERS PARK DR STE 200, NEENAH, WI 54956-3893
(920) 486-6595
(920) 486-6013
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6458-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049235
—
WI
Enumeration date
03/18/2015
Last updated
02/27/2019
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