Jane C Pedersen in Durango - Mental Health

Jane C Pedersen - NPI 1922117621

Jane C Pedersen is a Mental Health in Durango, Colorado. Jane C Pedersen practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jane C Pedersen is 1922117621. The last update date is 2007-11-18.

Jane C Pedersen's current location address is 1075 Main Ave, Durango, Colorado. You can contact this provider via phone number 9703855266 and fax number 6152962773. The mailing address for Jane C Pedersen is 1075 Main Ave, Durango, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane C Pedersen
Address 1075 Main Ave, Durango, Colorado
Phone Number 9703855266
Fax Number 6152962773
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1922117621
Provider Enumeration Date 2006-08-29
Last Updated Date 2007-11-18

Provider Mailing Address Detail

Address 1075 Main Ave
City Durango
State Colorado (CO)
Post Code 813015369
Phone Number 9703855266
Fax Number 6152962773

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 560
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
560 CO LICCLINICALSOCIALWORKER

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FAQs about Jane C Pedersen

What is the unique 10-digit identification code issued to Jane C Pedersen by the Centers for Medicare & Medicaid Services?

The Jane C Pedersen has been assigned the NPI (National Provider Identifier) 1922117621 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Jane C Pedersen is located?

The Jane C Pedersen is situated at the following address: 1075 Main Ave, Durango, CO, 813015369.

What is Jane C Pedersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jane C Pedersen is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922117621 to Jane C Pedersen?

The Centers for Medicare & Medicaid Services originally issued the 1922117621 to Jane C Pedersen on 2006-08-29.

When was the information related to Jane C Pedersen most recently updated or refreshed?

The details pertaining to the Jane C Pedersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-18.

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