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

Walter Pedersen, CADCII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730301128

Walter Pedersen, CADCII is an Addiction (Substance Use Disorder) Counselor in South Lake Tahoe, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2494 Lake Tahoe Blvd Ste B2
South Lake Tahoe, CA 96150-7142
Phone: (530) 541-4594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1730301128
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESApril 10, 2014

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