Organization · Type 2 NPI

Kathleen Pendergast LLC

Professional Counselor · Chicago, IL

NPI number 1407680929 Active

Practice location

2001 W North Ave
Chicago, IL 60647-5413

Call (773) 217-8834 Map

Mailing address

1564 N Damen Ave Ste 208
Chicago, IL 60622-2102

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed
Clinical Social Worker	1041C0700X	None listed

Professional Counselor: Definition to come...

6 other providers at this address

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NPI record

NPI: 1407680929
Entity type: Organization (Type 2)
Issued: Aug 27, 2024
Last updated: Aug 27, 2024
Status: Active
Subpart: Yes of Kathleen Pendergast LLC

Other names

Kathleen Pendergast Therapy · doing business as

Authorized official

Ms. Kathleen Marie Pendergast, LCPC
Owner
(773) 217-8834

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About NPI 1407680929

Kathleen Pendergast LLC's National Provider Identifier is 1407680929, issued on Aug 27, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Aug 27, 2024.