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Individual

GREGORY LYNN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
7381 W 133RD ST, SUITE 260, OVERLAND PARK, KS 66213-4750
(913) 647-8092
Mailing address
7381 W 133RD ST, SUITE 260, OVERLAND PARK, KS 66213-4750
(913) 647-8092

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2666
KS

Other

Enumeration date
09/10/2014
Last updated
09/10/2014
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