Individual
MRS. JAMIE PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1665 CREEKSIDE DR STE 106, FOLSOM, CA 95630-3538
(817) 368-5722
(916) 749-3184
Mailing address
8800 SIERRA COLLEGE BLVD., APT. 714, ROSEVILLE, CA 95661
(817) 368-5722
(916) 749-3184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
64331
TX
101YP2500X
Professional Counselor
Primary
LPC 23
CA
Other
Enumeration date
06/08/2012
Last updated
06/13/2012
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