Ferguson, Jennifer Hortense

Ferguson, Jennifer Hortense is an individual health care provider with primary practice located at 9124 Gravelly Lake Dr Sw Lakes Plaza Suite 101, Lakewood WA 98499-3198. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ferguson, Jennifer Hortense can be contacted via phone (253) 503-0236.

Contact Information

Primary practice address
9124 Gravelly Lake Dr Sw Lakes Plaza Suite 101 Lakewood WA 98499-3198
Phone: (253) 503-0236
Fax: (253) 503-0982
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CPOOOO5222 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MG60171687 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60079410 Washington

Profile Details

NPI number 1669654505
LBN Legal business name Ferguson, Jennifer Hortense
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Sep 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669654505 NPPES
Washington MEDICAID 331-8907

Popular Providers