Individual
BRIAN J PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1200 WESTLAKE AVE N, #901, SEATTLE, WA 98109-3543
(253) 797-9315
Mailing address
1200 WESTLAKE AVE N, #901, SEATTLE, WA 98109-3543
(253) 797-9315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60310936
WA
Other
Enumeration date
12/10/2009
Last updated
09/23/2016
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