Individual
MELISSA LYNN PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LADC
Contact information
Practice address
4615 GRAND AVE STE 300, DULUTH, MN 55807-2749
(218) 282-2174
(218) 600-5485
Mailing address
PO BOX 233, KNIFE RIVER, MN 55609-0233
(218) 282-2174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305465
MN
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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