Search › Minnesota › 101YA0400X
Jeffrey Pedersen, LADC
NPI 1750190492 · on the registry since 2025 · sole proprietor
Practice
- Address
- 9896 57th St N
Lake Elmo, MN 55042 - Phone
- (651) 285-2865
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota