Individual
BRANDON PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10826 OLD MILL RD, OMAHA, NE 68154-2660
(402) 671-3750
Mailing address
10826 OLD MILL RD STE 104, OMAHA, NE 68154-2660
(402) 671-3750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10935
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4026713750
—
NE
Enumeration date
08/31/2016
Last updated
12/15/2022
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