Individual
KELLY PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
500 UNSER BLVD SE STE 200, RIO RANCHO, NM 87124-4660
(505) 548-9023
(505) 531-8020
Mailing address
1660 OLD PECOS TRL STE A, SANTA FE, NM 87505-4779
(505) 548-9023
(505) 531-8020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0066
NM
Other
Enumeration date
05/25/2022
Last updated
04/06/2026
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