Pedersen, Jane C
Pedersen, Jane C is an sole proprietor health care provider with primary practice located at 1075 Main Ave Suite 214, Durango CO 81301-5369. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pedersen, Jane C can be contacted via phone (970) 385-5266.Contact Information
Primary practice address
1075 Main Ave Suite 214
Durango CO 81301-5369
Phone: (970) 385-5266
Fax: (615) 296-2773
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4607 | Illinois |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 560 | Colorado |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois |
Profile Details
NPI number | 1922117621 |
---|---|
LBN Legal business name | Pedersen, Jane C |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 29th, 2006 |
Last updated | Nov 18th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922117621 | NPPES |
Colorado | Other | 560 | LICCLINICALSOCIALWORKER |
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