Individual
ANDRA L FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, LPC, MS, PHD
Contact information
Practice address
303 N KEENE ST STE 202, COLUMBIA, MO 65201-8052
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2002022766
MO
124Q00000X
Dental Hygienist
Primary
003702
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495180119
—
MO
Enumeration date
10/24/2005
Last updated
02/26/2026
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