Individual
MRS. LISA WEBB FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GSW
Contact information
Practice address
2331 CAREY ST, SLIDELL, LA 70458-3627
(985) 646-6406
(985) 646-6460
Mailing address
2331 CAREY ST, SLIDELL, LA 70458-3627
(985) 646-6406
(985) 646-6460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7235
LA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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