Individual
BREANNE ASHLY PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178015896
IL
101YM0800X
Mental Health Counselor
Primary
6401222799
MI
101YP2500X
Professional Counselor
178015896
IL
101YP2500X
Professional Counselor
Primary
6401222799
MI
Other
Enumeration date
06/29/2020
Last updated
04/16/2026
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