Individual
COLLEEN POLLITT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1721 S INGRAM AVE, SEDALIA, MO 65301-7535
(660) 826-3367
Mailing address
1721 S INGRAM AVE, SEDALIA, MO 65301-7535
(660) 826-3367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2001025168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35875014
BCBS
MS
Enumeration date
01/18/2006
Last updated
07/09/2007
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