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Madison Nicole Fergerstrom, MA,LMHCA
Mental Health Counselor in Kent, Washington
NPI 1588224851

Madison Nicole Fergerstrom is a Mental Health Counselor based in Auburn, WA and is specialized in Mental Health. Madison Nicole Fergerstrom practices in Kent, WA and has the professional credentials of MA,LMHCA. The NPI Number for Madison Nicole Fergerstrom is 1588224851 and holds a License No. MC60960463 (Washington).

The current practice location address for Madison Nicole Fergerstrom is 24909 104Th Ave Se Ste 101A, Kent, WA and can be reached out via phone at 253-656-5454.

Location: 24909 104Th Ave Se Ste 101A, Kent, WA, 98092-5504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588224851
Provider Name
Madison Nicole Fergerstrom
Credential
MA,LMHCA
Provider Entity Type
Individual
Gender
Female
Address
24909 104Th Ave Se Ste 101A, Kent, WA, 98092-5504
Phone Number
253-656-5454
Fax Number
Provider Enumeration Date
06/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24909 104Th Ave Se Ste 101A
City
Kent
State
Washington
Zip
98030-2819
Phone Number
253-656-5454
Fax Number
person
Provider Business Mailing Address Details
Address
24909 104Th Ave Se Ste 101A
City
Kent
State
Washington
Zip
98030-2819
Phone Number
253-656-5454
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60960463 (Washington)
Definition
Definition to come...
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