STEPHANIE POLLARD NPI 1477094290

NPI Information

NPI: 1477094290
Provider Name: STEPHANIE POLLARD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
720 14TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 423-0203
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Stephanie Pollard is a mental health counselor in Longview, WA. Stephanie Pollard NPI is 1477094290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 14TH AVE
LONGVIEW, WA
ZIP 98632-315
Phone: (360) 423-0203
Fax: (360) 423-5086

The enumeration date for this NPI number is 3/13/2017 and was last updated on 12/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		60727290	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	MC60965630	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2097908	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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