Individual provider · Type 1 NPI

Danyelle Elaine Pedersen

Addiction (Substance Use Disorder) Counselor · Antioch, CA

NPI number 1609130509 Active

Practice location

1408 A St
Antioch, CA 94509-2331

Fax (925) 757-0411

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-P1206141554 (CA)

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

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About NPI 1609130509

Danyelle Elaine Pedersen's National Provider Identifier is 1609130509, issued on Jun 26, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antioch, CA. The record was last updated on Jun 26, 2012.