Organization
DR JILL D POLLOCK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL POLLOCK PSY D (PRESIDENT)
(719) 562-4414
Entity
Organization
Contact information
Practice address
1115 N GRAND AVE, SUITE 100, PUEBLO, CO 81003-2867
(719) 562-4414
(719) 562-4415
Mailing address
1115 N GRAND AVE, SUITE 100, PUEBLO, CO 81003-2867
(719) 562-4414
(719) 562-4415
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1020
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07989536
—
CO
Enumeration date
03/06/2008
Last updated
03/06/2008
Update your record
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