Organization
COLLEEN PEDERSON LMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN PEDERSON LMFT (OWNER)
(320) 761-3230
Entity
Organization
Contact information
Practice address
7382 KIRKWOOD CT, MAPLE GROVE, MN 55369-5270
(320) 761-3230
Mailing address
PO BOX 7801, SAINT CLOUD, MN 56302-7801
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1324
MN
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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