| NPI | 1023780475 |
|---|---|
| Former Legal Business Name | FERGUSON COUNSELING AND CONSULTING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | LEE ROBERT FERGUSON Owner/Agent 509-438-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-05 |