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NPI 1104102516

NPI 1104102516 : MEGAN B POLLOCK LPC-S, CST : BELLAIRE, TX

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General NPI Number Information
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    NPI Number           |    1104102516
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN B POLLOCK LPC-S, CST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/30/2011
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    Last Update Date     |    04/12/2018
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Provider Practice Location Address
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    Address Line         |    5959 WEST LOOP S STE 410 
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    City                 |    BELLAIRE
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    State                |    TX
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    Zip                  |    77401-2406
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    Country              |    US
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    Telephone            |    281-974-2726
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    Fax                  |    832-201-9271
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Provider Business Mailing Address
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    Address Line         |    5959 WEST LOOP S STE 410 
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    City                 |    BELLAIRE
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    State                |    TX
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    Zip                  |    77401-2406
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    Country              |    US
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    Telephone            |    832-724-4477
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    Fax                  |    832-201-9271
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    18400
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    License Number State |    TX
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