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Greg Darren Pedersen
Mental Health Counselor in North Bend, Oregon
NPI 1811388150

Greg Darren Pedersen is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Greg Darren Pedersen practices in North Bend, OR. The NPI Number for Greg Darren Pedersen is 1811388150 and holds a License No. (Oregon).

The current practice location address for Greg Darren Pedersen is 1913 Meade St, North Bend, OR and can be reached out via phone at 541-756-2521.

Location: 1913 Meade St, North Bend, OR, 97527-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811388150
Provider Name
Greg Darren Pedersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1913 Meade St, North Bend, OR, 97527-5500
Phone Number
541-756-2521
Fax Number
Provider Enumeration Date
02/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1913 Meade St
City
North Bend
State
Oregon
Zip
97459-3432
Phone Number
541-756-2521
Fax Number
person
Provider Business Mailing Address Details
Address
1913 Meade St
City
North Bend
State
Oregon
Zip
97459-3432
Phone Number
541-756-2521
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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