Individual provider · Type 1 NPI

Teresa Lynn Pederson, MA, MHP

Mental Health Counselor · Lakewood, WA

NPI number 1306964598 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Fax (253) 581-2540

Mailing address

25605 99th Ave E
Graham, WA 98338-7056

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00051483 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1306964598

Teresa Lynn Pederson, MA, MHP's National Provider Identifier is 1306964598, issued on Mar 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Jul 8, 2007.