Individual
MISS JENNIFER MARY PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 354-7986
Mailing address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 354-7986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01035
RI
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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