Individual
STEPHANIE KEPNER FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
215 W BROADWAY ST STE 1, HOBBS, NM 88240-6075
(575) 393-0692
Mailing address
4008 N GRIMES ST # 89, HOBBS, NM 88240-0903
(540) 447-4652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0205061
NM
Other
Enumeration date
07/11/2019
Last updated
04/28/2023
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