MICHAEL O PENDERGAST

BENICIA, CA
NPI1689239717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A062410323)
Enumeration Date2019-05-03
Last Update Date2024-01-10
Business Address
MICHAEL O PENDERGAST RADT
240 PANORAMA DR
BENICIA, CA 94510-1523
Phone number: 707-712-6317
Mailing Address
MICHAEL O PENDERGAST RADT
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
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