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MS. MARILYN JEAN PEDERSEN LADC
NPI 1912297474
Counselor - Addiction (Substance Use Disorder) in Pine City, MN

Active since April 18, 2011
645 3RD AVE SW, PINE CITY, MN 55063(320) 629-1362(320) 629-3454 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Marilyn Jean Pedersen Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARILYN JEAN PEDERSEN LADC (NPI 1912297474) is an individual addiction (substance use disorder) provider in Pine City, Minnesota, licensed in Minnesota (300700) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1912297474
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARILYN JEAN PEDERSENCredential: LADC
Location Address645 3RD AVE SWPine City, MN 55063-1468
Mailing Address645 3rd Ave SwPine City, MN 55063-1468 · (320) 629-1362 · Fax (320) 629-3454
Phone(320) 629-1362
Fax(320) 629-3454
Sole ProprietorNo
Enumeration DateApril 18, 2011
✔ NPI 1912297474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 300700
645 3RD AVE SW, Pine City, MN 55063
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEONE ANDERSON
Counselor (Addiction (Substance Use Disorder))
645 3RD AVE SW
PINE CITY, MN 55063
Pine County (612) 275-5259
MRS. DEBORAH DIANE LARSON LADC
Counselor (Addiction (Substance Use Disorder))
645 3RD AVE SW
PINE CITY, MN 55063
Pine County (320) 629-1362
MR. DEL GENE BACON LADC
Counselor (Addiction (Substance Use Disorder))
645 3RD AVE SW
PINE CITY, MN 55063
Pine County (320) 629-1362
KELLY ANDERSEN LADC, LPCC
Counselor (Mental Health)
645 3RD AVE SW
PINE CITY, MN 55063
Pine County (320) 237-4227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Pedersen's NPI number?

The NPI number for Marilyn Pedersen is 1912297474. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Marilyn Pedersen located?

Marilyn Pedersen practices at 645 3rd Ave SW, Pine City, MN 55063. The listed phone number is (320) 629-1362.

What is Marilyn Pedersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marilyn Pedersen was last updated on April 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.