Individual
MR. KEVIN JAMES PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
11121 KENWOOD RD, CINCINNATI, OH 45242-1817
(513) 977-2141
(513) 487-4632
Mailing address
11121 KENWOOD RD, CINCINNATI, OH 45242-1817
(513) 977-2141
(513) 487-4632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E 0003441
OH
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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