Individual provider · Type 1 NPI
John Richard Pederson, MS COUNSELING
Mental Health Counselor · Vancouver, WA
NPI number
1992859540
Active
Practice location
15609 SE Mill Plain Blvd, Suite Number 600
Vancouver, WA 98684-8905
Mailing address
17808 SE 14th St
Vancouver, WA 98683-7221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH00003463 (WA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1992859540
John Richard Pederson, MS COUNSELING's National Provider Identifier is 1992859540, issued on Jan 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Dec 19, 2009.