LISA ANN FERGUSON

MUNCIE, IN
NPI1598180853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001300A)
Enumeration Date2014-02-24
Last Update Date2014-02-24
Business Address
Ms. LISA ANN FERGUSON MA, LCAC, CADAC II,
1904 W ROYALE DR
MUNCIE, IN 47304-2264
Phone number: 765-284-0043
Mailing Address
Ms. LISA ANN FERGUSON MA, LCAC, CADAC II,
2881 S PRIESTFORD RD
YORKTOWN, IN 47396-9726
Phone number: 765-730-5258
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