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Mr. William Benjamin Pedersen
Counselor in Watsonville, California
NPI 1801112032

William Benjamin Pedersen is a Counselor based in Watsonville, CA. William Benjamin Pedersen practices in Watsonville, CA. The NPI Number for William Benjamin Pedersen is 1801112032 and holds a License No. (California).

The current practice location address for William Benjamin Pedersen is 2716 Freedom Blvd, Watsonville, CA and can be reached out via phone at 831-688-5300 and via fax at 831-761-9984.

Location: 2716 Freedom Blvd, Watsonville, CA, 95076-1027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801112032
Provider Name
William Benjamin Pedersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
2716 Freedom Blvd, Watsonville, CA, 95076-1027
Phone Number
831-688-5300
Fax Number
831-761-9984
Provider Enumeration Date
04/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
2716 Freedom Blvd
City
Watsonville
State
California
Zip
95076-1027
Phone Number
831-688-5300
Fax Number
831-761-9984
person
Provider Business Mailing Address Details
Address
2716 Freedom Blvd
City
Watsonville
State
California
Zip
95076-1027
Phone Number
831-688-5300
Fax Number
831-761-9984
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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