# BETHANY PETERSON, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moving Forward Counseling Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518688720
- **Authorized official:** BETHANY PETERSON MSW, LICSW, LAC (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (218) 329-9345

## Contact information

- **Practice address:** 3523 45TH ST S, FARGO, ND 58104-8962
- **Practice address phone:** (218) 329-9345
- **Mailing address:** 110 15TH ST SE, BARNESVILLE, MN 56514-3315
- **Mailing address phone:** (218) 329-9345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2022
- **Last updated:** 09/06/2022