Individual provider · Type 1 NPI

Anthony B. Pendergrass, ED.D., LPC

Counselor · Piedmont, MO

NPI number 1376680694 Active

Practice location

306 N 2nd St
Piedmont, MO 63957-1301

Call (573) 223-7649 Map

Fax (573) 223-7691

Mailing address

RR 1 Box 1309
Piedmont, MO 63957-9715

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X2006038843 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376680694

Anthony B. Pendergrass, ED.D., LPC's National Provider Identifier is 1376680694, issued on Jan 30, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Piedmont, MO. The record was last updated on Jul 8, 2007.