person
Prof. Marc Jay Pedersen
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1366905051

Marc Jay Pedersen is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Marc Jay Pedersen practices in Santa Rosa, CA. The NPI Number for Marc Jay Pedersen is 1366905051 and holds a License No. R1339900319 (California).

The current practice location address for Marc Jay Pedersen is 440 Arrowood Dr, Santa Rosa, CA and can be reached out via phone at 707-284-2950 and via fax at 707-284-2955.

Location: 440 Arrowood Dr, Santa Rosa, CA, 95407-7503
person
Provider Profile Details
NPI Number
1366905051
Provider Name
Marc Jay Pedersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
440 Arrowood Dr, Santa Rosa, CA, 95407-7503
Phone Number
707-284-2950
Fax Number
707-284-2955
Provider Enumeration Date
04/09/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 CA
institution
Provider Business Practice Location Address Details
Address
440 Arrowood Dr
City
State
Zip
95407-7503
Phone Number
707-284-2950
Fax Number
707-284-2955
person
Provider Business Mailing Address Details
Address
440 Arrowood Dr
City
State
Zip
95407-7503
Phone Number
707-284-2950
Fax Number
707-284-2955
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1339900319 (California)
Definition
Definition to come...
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