Pedersen, Jane C

Pedersen, Jane C is an sole proprietor health care provider with primary practice located at 1075 Main Ave Suite 214, Durango CO 81301-5369. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pedersen, Jane C can be contacted via phone (970) 385-5266.

Contact Information

Primary practice address
1075 Main Ave Suite 214 Durango CO 81301-5369
Phone: (970) 385-5266
Fax: (615) 296-2773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4607 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 560 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1922117621
LBN Legal business name Pedersen, Jane C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Nov 18th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922117621 NPPES
Colorado Other 560 LICCLINICALSOCIALWORKER

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