person
Mr. Jefferson David Ferguson, LPC
Professional Counselor in Pewaukee, Wisconsin
NPI 1164533147

Jefferson David Ferguson is a Professional Counselor based in Pewaukee, WI and is specialized in Professional. Jefferson David Ferguson practices in Pewaukee, WI and has the professional credentials of LPC. The NPI Number for Jefferson David Ferguson is 1164533147 and holds a License No. 4885-125 (Wisconsin).

The current practice location address for Jefferson David Ferguson is 353 Forest Grove Dr Ste 100, Pewaukee, WI and can be reached out via phone at 262-719-9470 and via fax at 262-691-2972.

Location: 353 Forest Grove Dr Ste 100, Pewaukee, WI, 53072-3765
person
Provider Profile Details
NPI Number
1164533147
Provider Name
Jefferson David Ferguson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
353 Forest Grove Dr Ste 100, Pewaukee, WI, 53072-3765
Phone Number
262-719-9470
Fax Number
262-691-2972
Provider Enumeration Date
08/31/2006
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
353 Forest Grove Dr Ste 100
City
State
Zip
53072-3765
Phone Number
262-719-9470
Fax Number
262-691-2972
person
Provider Business Mailing Address Details
Address
353 Forest Grove Dr Ste 100
City
State
Zip
53072-3765
Phone Number
262-719-9470
Fax Number
262-691-2972
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4885-125 (Wisconsin)
Definition
Definition to come...
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