Individual
BETHANY GARRETT-MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(307) 421-9886
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(307) 421-9886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09924121
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144505751
—
CO
Enumeration date
10/14/2011
Last updated
04/30/2018
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