Jeffrey Carl Pedersen, LADC

NPI #1750190492 in Lake Elmo, Minnesota

Provider Information

NPI Number: 1750190492
Entity Type: Individual
Name: Jeffrey Carl Pedersen, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Jan 7, 2025
Last Updated: Jan 7, 2025

Practice Location

Address: 9896 57TH ST N
City: Lake Elmo
State: Minnesota
ZIP Code: 55042-9588
Phone: (651) 285-2865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Sylvanus Ariole, LADC	Counselor - Addiction (Substance Use Disorder)	Lake Elmo	AI Deep Dive
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Organizations

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Jesola INC	Counselor - Addiction (Substance Use Disorder)	Detroit Lakes	AI Deep Dive

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