Individual
BETHANY MORGAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4851 INDEPENDENCE ST STE 100, WHEAT RIDGE, CO 80033
(303) 425-0300
Mailing address
10465 MELODY DR, NORTHGLENN, CO 80234-4119
(970) 578-0103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20827
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09925286
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
06/01/2015
Last updated
03/17/2025
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