Individual provider · Type 1 NPI
Pamela Mae Pedersen, LADC
Addiction (Substance Use Disorder) Counselor · York, NE
NPI number
1114007259
Active
Practice location
722 S Lincoln Ave, Suite 1
York, NE 68467-4216
Fax (402) 362-7012
Mailing address
71 Kuester Lake
Grand Island, NE 68801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 326 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in York
About NPI 1114007259
Pamela Mae Pedersen, LADC's National Provider Identifier is 1114007259, issued on Oct 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in York, NE. The record was last updated on Aug 20, 2007.