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Individual
BECKY PEDERSON
Active
Individual
BECKY PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC, ACLC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BBH-LCPC-LIC-90417
MT
101Y00000X
Counselor
Primary
BBH-PCLC-LIC-72629
MT
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-72917
MT
Other
Enumeration date
11/12/2024
Last updated
09/17/2026
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