person
Dylan Patrick Prendergast
Mental Health Counselor in Champaign, Illinois
NPI 1063608206

Dylan Patrick Prendergast is a Mental Health Counselor based in Champaign, IL and is specialized in Mental Health. Dylan Patrick Prendergast practices in Champaign, IL. The NPI Number for Dylan Patrick Prendergast is 1063608206 and holds a License No. (Illinois).

The current practice location address for Dylan Patrick Prendergast is 202 W Park Ave, Champaign, IL and can be reached out via phone at 217-373-2430 and via fax at 217-352-3797. You can also correspond with Dylan Patrick Prendergast through the mailing address at 202 W PARK AVE, CHAMPAIGN, IL - 61820-3929 (mailing address contact number: 217-373-2430).

Location: 202 W Park Ave, Champaign, IL, 61820-3929
person
Provider Profile Details
NPI Number
1063608206
Provider Name
Dylan Patrick Prendergast
Credential
Provider Entity Type
Individual
Gender
Male
Address
202 W Park Ave, Champaign, IL, 61820-3929
Phone Number
217-373-2430
Fax Number
217-352-3797
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
202 W Park Ave
City
State
Zip
61820-3929
Phone Number
217-373-2430
Fax Number
217-352-3797
person
Provider Business Mailing Address Details
Address
202 W Park Ave
City
State
Zip
61820-3929
Phone Number
217-373-2430
Fax Number
217-352-3797
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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