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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174278824

Paris Pederson, LADC is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1404 Central Ave NE
Minneapolis, MN 55413-1517
Phone: (612) 871-7567
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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 306011 (MN)

Record details

NPI number1174278824
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedFebruary 21, 2022
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

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