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Organization

PEDERSEN COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TROY N PEDERSEN LPCA (PRESIDENT/CEO)
(317) 408-8968
Entity
Organization

Contact information

Practice address
405 N LEXINGTON AVE, WILMORE, KY 40390-1195
(317) 408-8968
Mailing address
405 N LEXINGTON AVE, WILMORE, KY 40390-1195
(317) 408-8968

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
KY-1573
KY

Other

Enumeration date
04/30/2013
Last updated
04/30/2013
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