| NPI | 1407680929 |
|---|---|
| Doing Business As | KATHLEEN PENDERGAST THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE PENDERGAST Owner 773-217-8834 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |