Individual
JON FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
850 N. MERIDIAN ST, INDIANAPOLIS, IN 46204
(317) 554-2704
Mailing address
6221 BROADWAY STREET, INDIANAPOLIS, IN 46220
(773) 562-5023
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
166000644
IL
106H00000X
Marriage & Family Therapist
Primary
99034514A
IN
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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