Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY CARL PEDERSEN, LADC
Active Sole ProprietorJEFFREY CARL PEDERSEN, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LAKE ELMO, Minnesota. NPI 1750190492 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LAKE ELMO, MN
Registration Details
- NPI Number
- 1750190492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2025 (1.5616974818927 yrs)
- Last Updated
- Jan 7, 2025
- License
-
305311 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9896 57TH ST NLAKE ELMO, MN, 550429588Browse MN providers · Browse ZIP 55042
- Phone
- 6512852865
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LAKE ELMO, MN
| Name | Credential | NPI |
|---|---|---|
| SAUL SELBY | — | 1518956598 |
| KEVIN SPADING | — | 1972592954 |
| KELLI SCHMITT KESTER | LADC | 1548005341 |
| SYLVANUS ARIOLE | LADC | 1407671522 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.