Individual provider · Type 1 NPI
Michael O. Pendergast, RADT
Addiction (Substance Use Disorder) Counselor · Benicia, CA
NPI number
1689239717
Active
Practice location
240 Panorama Dr
Benicia, CA 94510-1523
Mailing address
1408 A St
Antioch, CA 94509-2331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A062410323 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Benicia
About NPI 1689239717
Michael O. Pendergast, RADT's National Provider Identifier is 1689239717, issued on May 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Benicia, CA. The record was last updated on Jan 10, 2024.