Pederson, Jessica Marie
Pederson, Jessica Marie is an individual health care provider with primary practice located at 1040 Sakelares Blvd , Grants NM 87020-3819. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pederson, Jessica Marie can be contacted via phone (505) 876-1890.Contact Information
Primary practice address
1040 Sakelares Blvd
Grants NM 87020-3819
Phone: (505) 876-1890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0183201 | New Mexico |
Profile Details
| NPI number | 1528500394 |
|---|---|
| LBN Legal business name | Pederson, Jessica Marie |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2016 |
| Last updated | Sep 27th, 2021 - about 3 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.
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