Individual
HILARY J PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
2708 W KOENIG ST, GRAND ISLAND, NE 68803-5749
(308) 390-7059
Mailing address
2708 W KOENIG ST, GRAND ISLAND, NE 68803-5749
(308) 390-7059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1807
NE
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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