Tracy L Pederson, LCDCIII, SWA
Tracy L Pederson, LCDCIII, SWA is an Addiction (Substance Use Disorder) Counselor in Waverly, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2018
Practice location Address checks out
102 Dawn LnWaverly, OH 45690-9695
Phone: (740) 947-7783
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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 161646 (OH) |
|---|
Record details
| NPI number | 1134624943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCDCIII , SWA |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2018 |
| Last updated in NPPES | March 26, 2018 |
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