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Organization
KATHLEEN PENDERGAST LLC
Active
Organization
KATHLEEN PENDERGAST LLC
Active
Parent organization
KATHLEEN PENDERGAST LLC
Other names
Kathleen Pendergast Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KATHLEEN PENDERGAST LLC
Authorized official
MS. KATHLEEN MARIE PENDERGAST LCPC (OWNER)
(773) 217-8834
Entity
Organization
Contact information
Practice address
2001 W NORTH AVE, CHICAGO, IL 60647-5413
(773) 217-8834
Mailing address
1564 N DAMEN AVE STE 208, CHICAGO, IL 60622-2102
(733) 217-8834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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