Ferguson, Andra L
Ferguson, Andra L is an individual health care provider with primary practice located at 303 N Keene St Ste 202 , Columbia MO 65201-8052. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dental Providers / Dental Hygienist. Dental Providers / Dental Hygienist is her primary health care specialty. Ferguson, Andra L can be contacted via phone (844) 853-8937.Contact Information
Primary practice address
303 N Keene St Ste 202
Columbia MO 65201-8052
Phone: (844) 853-8937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2002022766 | Missouri |
| Dental Providers / Dental Hygienist | 124Q00000X | 003702 | Missouri |
Profile Details
| NPI number | 1770573545 |
|---|---|
| LBN Legal business name | Ferguson, Andra L |
| Credentials | RDH, LPC, MS, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Feb 26th, 2026 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770573545 | NPPES |
| Missouri | MEDICAID | 495180119 |
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