Provider Demographics
NPI:1790025278
Name:FERGUSON, JOHN HILTON II (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HILTON
Last Name:FERGUSON
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E REYNOLDS DR
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-2812
Mailing Address - Country:US
Mailing Address - Phone:318-255-9210
Mailing Address - Fax:
Practice Address - Street 1:101 E REYNOLDS DR
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-2812
Practice Address - Country:US
Practice Address - Phone:318-255-9210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC2848101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional