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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912297474

MS. Marilyn Jean Pedersen, LADC is an Addiction (Substance Use Disorder) Counselor in Pine City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

645 3rd Ave SW
Pine City, MN 55063-1468
Phone: (320) 629-1362
Fax: (320) 629-3454
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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 300700 (MN)

Record details

NPI number1912297474
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorNo
NPI enumeratedApril 18, 2011
Last updated in NPPESApril 18, 2011

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