THOMAS PRENDERGAST

INDIANAPOLIS, IN
NPI1982026548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87000077A)
Enumeration Date2014-01-15
Last Update Date2014-01-15
Business Address
-- THOMAS PRENDERGAST LCAC
8150 MADISON AVE
INDIANAPOLIS, IN 46227-6076
Phone number: 317-887-3290
Mailing Address
-- THOMAS PRENDERGAST LCAC
8150 MADISON AVE
INDIANAPOLIS, IN 46227-6076
Phone number: 317-887-3290