TERESA LYNN FERGUSON

WILLIAMSON, WV
NPI1275757411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WV  lvn-164x00000x)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- TERESA LYNN FERGUSON EdS
1609 W 3RD AVE
WILLIAMSON, WV 25661-3006
Phone number: 304-235-0026
Mailing Address
-- TERESA LYNN FERGUSON EdS
PO BOX 526
GILBERT, WV 25621-0526
Phone number: 304-664-3922