Dylan Patrick Prendergast
Dylan Patrick Prendergast is a Mental Health Counselor in Champaign, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
202 W Park AveChampaign, IL 61820-3929
Phone: (217) 373-2430
Fax: (217) 352-3797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1063608206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2007 |
| Last updated in NPPES | September 21, 2007 |
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