Individual
REBECCA POLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 W PONCE DE LEON AVE STE 360, DECATUR, GA 30030-2491
(310) 592-2437
Mailing address
1522 COOLWATER CT, DECATUR, GA 30033-1809
(310) 592-2437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013131
GA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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