Individual
LAURA H FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
1505 N DELAWARE ST, INDIANAPOLIS, IN 46202-4466
(317) 238-5487
Mailing address
3960 E 75TH ST, INDIANAPOLIS, IN 46240-3608
(804) 240-4981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003016A
IN
Other
Enumeration date
04/23/2010
Last updated
03/17/2017
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