Organization
LIGHTHOUSE COUNSELING SERVICES, LLC
Active
Other names
Jefferson Ferguson, SC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON D FERGUSON MS (THERAPIST/CO-OWNER)
(262) 719-9470
Entity
Organization
Contact information
Practice address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(262) 719-9470
(262) 691-2972
Mailing address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(262) 719-9470
(262) 691-2972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40965300
—
WI
Enumeration date
03/13/2023
Last updated
09/10/2024
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