person
Ms. Mary Elizabeth Pederson, LPC,MED,EDS
Professional Counselor in Lawrenceville, Georgia
NPI 1689995011

Mary Elizabeth Pederson is a Professional Counselor based in Lawrenceville, GA and is specialized in Professional. Mary Elizabeth Pederson practices in Lawrenceville, GA and has the professional credentials of LPC,MED,EDS. The NPI Number for Mary Elizabeth Pederson is 1689995011 and holds a License No. LPC004631 (Georgia).

The current practice location address for Mary Elizabeth Pederson is 2775 Cruse Rd Ste 1601, Lawrenceville, GA and can be reached out via phone at 678-620-3204 and via fax at 770-559-4232. You can also correspond with Mary Elizabeth Pederson through the mailing address at 2775 CRUSE RD STE 1601, LAWRENCEVILLE, GA - 30044-7145 (mailing address contact number: 678-620-3204).

Location: 2775 Cruse Rd Ste 1601, Lawrenceville, GA, 30044-7145
person
Provider Profile Details
NPI Number
1689995011
Provider Name
Mary Elizabeth Pederson
Credential
LPC,MED,EDS
Provider Entity Type
Individual
Gender
Female
Address
2775 Cruse Rd Ste 1601, Lawrenceville, GA, 30044-7145
Phone Number
678-620-3204
Fax Number
770-559-4232
Provider Enumeration Date
06/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC004631 01 GA LPC OF GEORGIA
institution
Provider Business Practice Location Address Details
Address
2775 Cruse Rd Ste 1601
City
State
Zip
30044-7145
Phone Number
678-620-3204
Fax Number
770-559-4232
person
Provider Business Mailing Address Details
Address
2775 Cruse Rd Ste 1601
City
State
Zip
30044-7145
Phone Number
678-620-3204
Fax Number
770-559-4232
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC004631 (Georgia)
Definition
Definition to come...
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