Pederson, Jill Ann

Pederson, Jill Ann is an individual health care provider with primary practice located at 18350 Mount Langley St Ste 200 , Fountain Valley CA 92708-6912. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pederson, Jill Ann can be contacted via phone (949) 569-0182.

Contact Information

Primary practice address
18350 Mount Langley St Ste 200 Fountain Valley CA 92708-6912
Phone: (949) 569-0182
Fax: (714) 378-2631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 20622 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7280-123 Wisconsin

Profile Details

NPI number 1750391678
LBN Legal business name Pederson, Jill Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jan 21st, 2022 - 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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