Individual
ANDREA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 LELIA DR STE 105, JACKSON, MS 39216-4828
(601) 667-0448
Mailing address
1235 SLAYTON RD, VAUGHAN, MS 39179-9315
(713) 828-6755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3178
MS
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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