MARK FERGUSON

LANCASTER, CA
NPI1831516558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  FA411010858)
Enumeration Date2014-03-19
Last Update Date2014-03-19
Business Address
-- MARK FERGUSON
44900 60TH ST W
LANCASTER, CA 93536-7618
Phone number: 661-945-8458
Mailing Address
-- MARK FERGUSON
44900 60TH ST W
LANCASTER, CA 93536-7618
Phone number: 661-945-8458