Individual provider · Type 1 NPI

Melissa Lynn Pederson, MA, LADC

Addiction (Substance Use Disorder) Counselor · Duluth, MN

NPI number 1154096378 Active

Practice location

4615 Grand Ave Ste 300
Duluth, MN 55807-2749

Fax (218) 600-5485

Mailing address

PO Box 233
Knife River, MN 55609-0233

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305465 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154096378

Melissa Lynn Pederson, MA, LADC's National Provider Identifier is 1154096378, issued on Aug 10, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Duluth, MN. The record was last updated on Aug 10, 2021.