Individual
TREVOR PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
217 E GRAND AVE UNIT 5, LARAMIE, WY 82070-3604
(216) 217-7239
Mailing address
PO BOX 2476, CHEYENNE, WY 82003-2476
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1699
WY
Other
Enumeration date
08/25/2014
Last updated
03/10/2022
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