Individual provider · Type 1 NPI
Jennifer Pederson
Mental Health Counselor · Newcastle, WY
NPI number
1730926023
Active
Practice location
420 Deanne Ave Ste 2
Newcastle, WY 82701-2936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MT11968 (SD) |
| Mental Health Counselor Primary | 101YM0800X | PPC-1614 (WY) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Newcastle
About NPI 1730926023
Jennifer Pederson's National Provider Identifier is 1730926023, issued on Jul 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newcastle, WY. The record was last updated on May 30, 2026.