Most Relevant Information
Provider Data
| NPI Number: | 1003561960 |
| Provider Name: | ANASTASIA PEDERSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | IMH21816 |
Most Important Dates
| Enumeration Date: | 02/18/2022 |
| Last Updated: | 02/18/2022 |
Provider Practice Location
2500 MAITLAND CENTER PKWY
MAITLAND
FL
327517224
Practice Location Phone/Fax
| Phone: | 4077890500 |
| Fax: |
Provider Mailing Location
2732 HERTHA AVE
ORLANDO
FL
328263328
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |