Ferguson, Laurie Kathryn

Ferguson, Laurie Kathryn is an sole proprietor health care provider with primary practice located at 200 S Washington St Suite 306, Green Bay WI 54301-4343. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ferguson, Laurie Kathryn can be contacted via phone (920) 437-7884.

Contact Information

Primary practice address
200 S Washington St Suite 306 Green Bay WI 54301-4343
Phone: (920) 437-7884
Fax: (920) 884-0005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3907 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 196 Wisconsin

Profile Details

NPI number 1679534556
LBN Legal business name Ferguson, Laurie Kathryn
Credentials PH.D., LCSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Mar 11th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679534556 NPPES
Wisconsin MEDICAID 39619600

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