JACOB FERGESON

BLUFFDALE, UT
NPI1013654987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-05-12
Last Update Date2022-05-12
Business Address
JACOB FERGESON
2973 W 13800 S
BLUFFDALE, UT 84065-8202
Phone number: 801-545-0406
Mailing Address
JACOB FERGESON
2973 W 13800 S
BLUFFDALE, UT 84065-8202
Phone number: