Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Carl Pedersen, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750190492

Jeffrey Carl Pedersen, LADC is an Addiction (Substance Use Disorder) Counselor in Lake Elmo, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

9896 57th St N
Lake Elmo, MN 55042-9588
Phone: (651) 285-2865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 305311 (MN)

Record details

NPI number1750190492
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorYes
NPI enumeratedJanuary 7, 2025
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

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