Individual
JILL CHARLENE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 RENAISSANCE DRIVE, SUITE 301, BUTLER, PA 16001
(724) 287-1880
(724) 282-1848
Mailing address
365 FRANKLIN HILL ROAD, KITTANNING, PA 16201
(724) 543-1888
(724) 543-1898
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MF000735
PA
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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