Individual provider · Type 1 NPI

Jason-Anthony Kirkham Prendergast

Pastoral Counselor · Fort Lauderdale, FL

NPI number 1699278523 Active

Practice location

1451 W Cypress Creek Rd
Fort Lauderdale, FL 33309-1961

Call (888) 773-3439 Map

Mailing address

4163 NW 48th Ave
Lauderdale Lakes, FL 33319-4716

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor Primary 101YP1600X17769 (FL)

Pastoral Counselor: Definition to come...

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About NPI 1699278523

Jason-Anthony Kirkham Prendergast's National Provider Identifier is 1699278523, issued on Mar 16, 2018. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Mar 16, 2018.