MRS. Rebecca Connie Pedersen, LICSW,SUDP,LCSW
NPI #1386022978 in American Fork, Utah
Provider Information
- NPI Number
- 1386022978
- Entity Type
- Individual
- Name
- MRS. Rebecca Connie Pedersen, LICSW,SUDP,LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LICSW,SUDP,LCSW
- Enumeration Date
- May 14, 2015
- Last Updated
- Oct 2, 2024
Practice Location
- Address
- 802 E BAMBERGER DR STE A
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-2179
- Phone
- (801) 633-9887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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| MS. Ami Josephine Curtis, LASUDC, SSW, MSWI | |
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| MR. Charles W. Talcott, BA/LSAC |
Organizations
| Provider Name | |
|---|---|
| Axis-One INC |
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