Individual
MISS JACKIE P POLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, MAC,NCC
Contact information
Practice address
107 W ELLERSLIE AVE, COLONIAL HEIGHTS, VA 23834-1513
(804) 520-1655
(804) 520-8595
Mailing address
PO BOX 276, COLONIAL HEIGHTS, VA 23834-0276
(804) 520-1655
(804) 520-8595
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0701001792
VA
106H00000X
Marriage & Family Therapist
0717000056
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059404
VALUE OPTIONS NUMBER
VA
01
—
085513
SENTARA BEHAVIORAL HEALTH
VA
01
—
106008
ANTHEM PROVIDER NUMBER
VA
01
—
184246
UNITED HEALTH CARE/UBH
VA
01
—
246353
MHN/TRICARE
VA
05
—
5400091
—
VA
01
—
5906567
AETNA PROVIDER NUMBER
VA
Enumeration date
09/17/2006
Last updated
09/11/2025
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