Organization
INNOVATIVE COUNSELING SERVICES
Active
Other names
JEAN POLLACK
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN F POLLACK PHD (PSYCHOLOGIST)
(888) 821-2935
Entity
Organization
Contact information
Practice address
228 BROADWAY, HANOVER, PA 17331-2501
(888) 821-2935
(866) 470-6121
Mailing address
260 LYNBROOK DR N, YORK, PA 17402-3228
(888) 821-2935
(866) 470-6121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSOO6977
PA
251S00000X
Community/Behavioral Health Agency
PS006977
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018496090001
—
PA
Enumeration date
08/15/2008
Last updated
03/06/2012
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