Provider Demographics
NPI:1013446269
Name:FERGUSON, LAUREN M (MS)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:M
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10791 KITTY DR STE A
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-7748
Mailing Address - Country:US
Mailing Address - Phone:303-838-2179
Mailing Address - Fax:
Practice Address - Street 1:10791 KITTY DR STE A
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-7748
Practice Address - Country:US
Practice Address - Phone:720-281-9789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-09
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO671106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist