Individual
MARGARET PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
835 S BURLINGTON AVE STE 115, HASTINGS, NE 68901-6928
(402) 462-2066
(402) 462-2045
Mailing address
835 S BURLINGTON AVE STE 115, HASTINGS, NE 68901-6928
(402) 462-2066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1361
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1361
LADC LICENSE
NE
Enumeration date
11/22/2021
Last updated
11/22/2021
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