HEIDI LYNN PENDERGAST

VALLEJO, CA
NPI1356117410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-11-29
Last Update Date2023-11-29
Business Address
HEIDI LYNN PENDERGAST
1810 SANTA CLARA ST
VALLEJO, CA 94590-3143
Phone number: 925-430-4414
Mailing Address
HEIDI LYNN PENDERGAST
1810 SANTA CLARA ST
VALLEJO, CA 94590-3143
Phone number: 925-430-4414
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