Pedersen, Rebecca Connie
Pedersen, Rebecca Connie is an sole proprietor health care provider with primary practice located at 802 E Bamberger Dr Ste A , American Fork UT 84003-2179. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pedersen, Rebecca Connie can be contacted via phone (801) 633-9887.Contact Information
Primary practice address
802 E Bamberger Dr Ste A
American Fork UT 84003-2179
Phone: (801) 633-9887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60818488 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW61089331 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 365936-3501 | Utah |
Profile Details
| NPI number | 1386022978 |
|---|---|
| LBN Legal business name | Pedersen, Rebecca Connie |
| Credentials | LICSW,SUDP,LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2015 |
| Last updated | Oct 2nd, 2024 - about 2 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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