Individual
MS. MARY ELIZABETH PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, M.ED., ED.S.
Contact information
Practice address
2775 CRUSE RD STE 1601, LAWRENCEVILLE, GA 30044-7145
(678) 620-3204
(770) 559-4232
Mailing address
2775 CRUSE RD STE 1601, LAWRENCEVILLE, GA 30044-7145
(678) 620-3204
(770) 559-4232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004631
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC004631
LPC OF GEORGIA
GA
Enumeration date
06/21/2010
Last updated
03/06/2019
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