Individual
JENNIFER PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 DEANNE AVE STE 2, NEWCASTLE, WY 82701-2936
(307) 746-8157
Mailing address
420 DEANNE AVE STE 2, NEWCASTLE, WY 82701-2936
(307) 746-8157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1614
WY
173C00000X
Reflexologist
Primary
MT11968
—
225700000X
Massage Therapist
MT11968
SD
Other
Enumeration date
07/12/2024
Last updated
05/30/2026
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