| Pedersen Wellness And Rejuvenation | |
|
1740 Grande Blvd Se Ste E15 Rio Rancho NM 87124-1799 | |
| (505) 507-1584 | |
| Not Available |
| Full Name | Pedersen Wellness And Rejuvenation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1740 Grande Blvd Se Ste E15, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Kelly Erika Pedersen (OWNER) |
| Authorized Official Contact | 8065431429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedersen Wellness And Rejuvenation 9108 Manresa Dr Nw Albuquerque NM 87114-6471 Ph: (806) 543-1429 | Pedersen Wellness And Rejuvenation 1740 Grande Blvd Se Ste E15 Rio Rancho NM 87124-1799 Ph: (505) 507-1584 |
| NPI Number | 1831873744 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831873744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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