Individual
JENNIFER KAY PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
322 2ND AVE W, KALISPELL, MT 59901-4894
(406) 755-4022
(406) 755-4023
Mailing address
322 2ND AVE W, KALISPELL, MT 59901-4894
(406) 755-4022
(406) 755-4023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1411
MT
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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