IndividualActive
Jennifer Pederson
NPI 1730926023 · Mental Health Counselor · Newcastle, WY
Provider details
- NPI number
- 1730926023
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT11968 (SD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
420 Deanne Ave Ste 2
Newcastle, WY 82701-2936
Phone: (307) 746-8157
Approximate (ZIP-level) locationGet directions
Mailing address
420 Deanne Ave Ste 2
Newcastle, WY 82701-2936
Registry dates
- Enumerated
- 2024-07-12
- Last updated
- 2026-05-30
- Certified
- 2026-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.