Individual
MRS. ANNETTE JOHANNA PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
319 E MULBERRY AVE, SAN ANTONIO, TX 78212-3024
(210) 738-7780
(210) 738-7789
Mailing address
704 GARRATY CT, SAN ANTONIO, TX 78209-6177
(210) 685-5099
(210) 738-7789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20112
TX
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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