Individual provider · Type 1 NPI

Mary Louise Prendergast, L.M.H.C.

Mental Health Counselor · Jacksonville, FL

NPI number 1730528381 Active

Practice location

836 Prudential Dr Ste 1006
Jacksonville, FL 32207-8337

Call (904) 376-3800 Map

Fax (904) 396-8966

Mailing address

PO Box 748519
Atlanta, GA 30374-8519

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 10308 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1730528381

Mary Louise Prendergast, L.M.H.C.'s National Provider Identifier is 1730528381, issued on Jun 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 15, 2023.