Individual
BERTHA POLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
901 ERNSTON RD, SOUTH AMBOY, NJ 08879-2000
(732) 654-3110
Mailing address
4141 BAYBERRY CT, MONMOUTH JUNCTION, NJ 08852-2125
(732) 766-7065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00309500
NJ
104100000X
Social Worker
44SL06808500
NJ
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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