Search › Wyoming › 101YP2500X
Trevor Pederson, LPC
NPI 1689074833 · on the registry since 2014
Practice
- Address
- 217 E Grand Ave Unit 5
Laramie, WY 82070 - Phone
- (216) 217-7239
- Organisation at this address
- Moonstone Wellness Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 1430 Wilkins Cir, Casper, WY
- 502 S 4th St, Laramie, WY
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-10
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 Wyoming