Individual provider · Type 1 NPI

Jefferson David Ferguson, LPC

Professional Counselor · Pewaukee, WI

NPI number 1164533147 Active

Practice location

353 Forest Grove Dr Ste 100
Pewaukee, WI 53072-3765

Call (262) 719-9470 Map

Fax (262) 691-2972

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4885-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1164533147

Jefferson David Ferguson, LPC's National Provider Identifier is 1164533147, issued on Aug 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pewaukee, WI. The record was last updated on Sep 10, 2024.