Individual
BETHANY GRACE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 303-1541
Mailing address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 303-1541
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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