Mary Jo Pedersen in Santa Maria - Mental Health
Mary Jo Pedersen - NPI 1407889686
Mary Jo Pedersen is a Mental Health in Santa Maria, California. Mary Jo Pedersen practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Jo Pedersen is 1407889686. The last update date is 2022-12-30.
Mary Jo Pedersen's current location address is 2355 Lake Marie Drive, Santa Maria, California. You can contact this provider via phone number 8059345088 and fax number 8059370877. The mailing address for Mary Jo Pedersen is 2355 Lake Marie Drive, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Pedersen |
|---|---|
| Address | 2355 Lake Marie Drive, Santa Maria, California |
| Phone Number | 8059345088 |
| Fax Number | 8059370877 |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1407889686 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2022-12-30 |
Provider Mailing Address Detail
| Address | 2355 Lake Marie Drive |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 93455 |
| Phone Number | 8059345088 |
| Fax Number | 8059370877 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MFC 38335 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique provider identifier assigned to Mary Jo Pedersen?
The Mary Jo Pedersen has been issued the NPI (National Provider Identifier) 1407889686 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Jo Pedersen?
The Mary Jo Pedersen is physically situated at 2355 Lake Marie Drive, in the city of Santa Maria, state of CA, with the postal code 93455.
What is Mary Jo Pedersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Jo Pedersen is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
When was the Mary Jo Pedersen's 1407889686 issued?
The Mary Jo Pedersen's 1407889686 was issued on 2006-07-09.
When was the information pertaining to Mary Jo Pedersen most recently updated or revised?
The details related to Mary Jo Pedersen, including its address, specialty, and other relevant information, were last updated or revised on 2022-12-30.
NPI Number: 1124025044
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