Individual
MARISSA POLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, RPT
Contact information
Practice address
5233 S 50 E, WABASH, IN 46992-8011
(260) 563-1158
Mailing address
5233 S 50 E, WABASH, IN 46992-8011
(260) 563-1158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35002115A
IN
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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