TAVIS FERGUSON

ONTARIO, OR
NPI1518452762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-06-28
Last Update Date2018-06-28
Business Address
TAVIS FERGUSON
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
Mailing Address
TAVIS FERGUSON
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: