Individual
AMY BERGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
107 S 9TH ST, CANON CITY, CO 81212-3800
(719) 429-1260
Mailing address
107 S 9TH ST, CANON CITY, CO 81212-3800
(719) 221-0959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
CO
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
05/04/2026
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