Individual provider · Type 1 NPI

Krista Pederson, CADC

Addiction (Substance Use Disorder) Counselor · West Des Moines, IA

NPI number 1174033518 Active

Practice location

1211 Vine St
West Des Moines, IA 50265-4472

Fax (515) 209-7081

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16028 (IA)

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

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About NPI 1174033518

Krista Pederson, CADC's National Provider Identifier is 1174033518, issued on Oct 11, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Des Moines, IA. The record was last updated on Oct 11, 2017.