Individual
JARED D FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
434 S. 500 E., SALT LAKE CITY, UT 84102
(801) 359-8862
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 332-9253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6160923-3502
UT
Other
Enumeration date
06/04/2009
Last updated
07/20/2026
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