John Richard Pederson in Vancouver - Mental Health
John Richard Pederson - NPI 1992859540
John Richard Pederson is a Mental Health in Vancouver, Washington. John Richard Pederson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for John Richard Pederson is 1992859540. The last update date is 2009-12-19.
John Richard Pederson's current location address is 17808 Se 14th St, Vancouver, Washington. You can contact this provider via phone number 3602543855. The mailing address for John Richard Pederson is 17808 Se 14th St, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Richard Pederson |
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Address | 17808 Se 14th St, Vancouver, Washington |
Phone Number | 3602543855 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MS COUNSEL |
NPI Number Detail
NPI Number | 1992859540 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2009-12-19 |
Provider Mailing Address Detail
Address | 17808 Se 14th St |
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City | Vancouver |
State | Washington (WA) |
Post Code | 986837221 |
Phone Number | 3602543855 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | LH00003463 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to John Richard Pederson by the Centers for Medicare & Medicaid Services?
The John Richard Pederson has been assigned the NPI (National Provider Identifier) 1992859540 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the John Richard Pederson located?
The John Richard Pederson is located at 17808 Se 14Th St, Vancouver, WA 986837221.
What is John Richard Pederson's area of expertise and its corresponding taxonomy classification?
The John Richard Pederson's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1992859540 to John Richard Pederson?
The John Richard Pederson received its 1992859540 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date were the details related to John Richard Pederson most recently updated or revised?
The information pertaining to John Richard Pederson, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-19.