Individual
ALISON EMILY PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3020 W WILLOW KNOLLS DR STE B, PEORIA, IL 61614-8127
(309) 681-5850
Mailing address
3020 W WILLOW KNOLLS DR STE B, PEORIA, IL 61614-8127
(309) 681-5850
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015825
IL
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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