Individual provider · Type 1 NPI

Dylan Patrick Prendergast

Mental Health Counselor · Champaign, IL

NPI number 1063608206 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Fax (217) 352-3797

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063608206

Dylan Patrick Prendergast's National Provider Identifier is 1063608206, issued on Sep 21, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Sep 21, 2007.