National Provider Identifier
Paris Pederson, LADC
Paris Pederson, LADC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Minneapolis, MN and a listed phone number of (612) 871-7567.
Source: public NPPES record, last updated February 21, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1174278824
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- February 21, 2022
- Last Updated
- February 21, 2022
Practice Location
- 1404 Central Ave Ne
- Minneapolis, MN 55413-1517
Phone: (612) 871-7567
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Paris Pederson is a Minneapolis-based licensed alcohol and drug counselor. His public provider record lists an LADC credential and Minnesota licensure, with no stronger public biography, training profile, faculty role, or practice-history source available.
Full Record
- NPI
- 1174278824
- Entity Type
- Individual
- Last Name
- Pederson
- First Name
- Paris
- Credential
- LADC
- Mailing Street Address
- 1404 Central Ave Ne
- Mailing City
- Minneapolis
- Mailing State
- MN
- Mailing ZIP Code
- 55413-1517
- Mailing Country
- US
- Mailing Phone
- (612) 871-7567
- Practice Street Address
- 1404 Central Ave Ne
- Practice City
- Minneapolis
- Practice State
- MN
- Practice ZIP Code
- 55413-1517
- Practice Country
- US
- Practice Phone
- (612) 871-7567
- Enumeration Date
- February 21, 2022
- Last Updated
- February 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 21, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)