Healthcare Provider Details

I. General information

NPI: 1538793260
Provider Name (Legal Business Name): TRISHIA ANN POLLARD LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 CLAREMONT ST STE C
KALISPELL MT
59901-3500
US

IV. Provider business mailing address

552 3RD AVENUE WEST N
KALISPELL MT
59901-3616
US

V. Phone/Fax

Practice location:
  • Phone: 406-758-5155
  • Fax: 406-758-5166
Mailing address:
  • Phone: 303-670-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-42637
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: