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General NPI Number Information
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NPI Number | 1629575931
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Entity Type | Organization
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Legal Business Name | MEGAN POLLOCK THERAPY
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 06/16/2018
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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 | 281-974-2726
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Fax | 832-201-9271
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. MEGAN B POLLOCK
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Credential | LPC-S, CST
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Telephone | 281-974-2726
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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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