Female

Ms. Janis M. Pedro LCSW

Behavior Technician in Laurel, MT(View on Map)

Full Name

Ms. Janis M Pedro LCSW

NPI Number

1104064195

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/28/2009

Specialties

(Taxonomies)

Code

106S00000X
1041C0700X

Primary Taxonomy

Yes
No

Licenses

State

Montana
Wyoming

License Number

935
LCSW-524

Contact
Information

Purpose

Mailing
Location

Address

#20 5TH AVENUE
20 5TH AVE

City

Laurel
Laurel

State

MT
MT

Postal Code

59044-9299
59044-2913

Country

US
US

Telephone Number

(307) 272-5881
(307) 272-5881

Identifiers

Identifier

1104064195

Identifier State

MT

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/16/2017

Provider Address