Individual
JESSICA PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5929 WESTGATE BLVD STE A, TACOMA, WA 98406-2567
(253) 503-0226
Mailing address
15 OREGON AVE STE 308, TACOMA, WA 98409-7462
(253) 304-7753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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