Individual
BECKY PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC, ACLC
Contact information
Practice address
113 W MAIN ST, HALL, MT 59837-9709
(406) 529-2146
Mailing address
113 W MAIN ST, HALL, MT 59837-9709
(406) 529-2146
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BBH-PCLC-LIC-72629
MT
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-72917
MT
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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