Individual provider · Type 1 NPI
Trevor Pederson, LPC
Professional Counselor · Laramie, WY
NPI number
1689074833
Active
Practice location
217 E Grand Ave Unit 5
Laramie, WY 82070-3604
Mailing address
PO Box 2476
Cheyenne, WY 82003-2476
Other practice locations
- 1430 Wilkins Cir, Casper, WY 82601-1336 · (307) 237-9583
- 502 S 4th St, Laramie, WY 82070 · (307) 755-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-1699 (WY) |
Professional Counselor: Definition to come...
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About NPI 1689074833
Trevor Pederson, LPC's National Provider Identifier is 1689074833, issued on Aug 25, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Laramie, WY. The record was last updated on Mar 10, 2022.