Individual
MS. KATHRYN A PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA (2) LCMHC
Contact information
Practice address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Mailing address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0000365
VT
101YM0800X
Mental Health Counselor
9491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006702
—
VT
Enumeration date
11/12/2006
Last updated
04/26/2023
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