Individual
NICOLE POLLOCK STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, LMHC, LMFT
Contact information
Practice address
808 3RD ST STE A, NEPTUNE BEACH, FL 32266-5080
(904) 234-0574
Mailing address
233 E BAY ST STE 920, JACKSONVILLE, FL 32202-3434
(904) 234-0574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH7433
FL
106H00000X
Marriage & Family Therapist
Primary
MT2208
FL
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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