Individual
MRS. MONIQUE ALEXANDRA PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 S 7TH ST STE 303, BISMARCK, ND 58504-5835
(701) 712-3290
Mailing address
919 S 7TH ST STE 303, BISMARCK, ND 58504-5835
(701) 712-3290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
835-6-1-15A
ND
101YP2500X
Professional Counselor
Primary
835-6-1-15-313
ND
Other
Enumeration date
06/02/2015
Last updated
02/02/2021
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