Individual provider · Type 1 NPI
Kelly Prendergast, LPC
Professional Counselor · Chicago, IL
NPI number
1669127536
Active
Practice location
3301 W 111th St
Chicago, IL 60655-2715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.017778 (IL) |
Professional Counselor: Definition to come...
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About NPI 1669127536
Kelly Prendergast, LPC's National Provider Identifier is 1669127536, issued on Feb 18, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Feb 18, 2022.