MEDICARE: TARAH ALEXANDRA POLLOCK AMFT, APCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1053247031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARAH ALEXANDRA POLLOCK AMFT, APCC

Provider Business Mailing Address
First Line	:	3125 RAGSDALE RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-2313
Country	:	US
Telephone Number	:	805-272-0883
Fax Number	:

Provider Business Practice Location Address
First Line	:	3125 RAGSDALE RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-2313
Country	:	US
Telephone Number	:	805-272-0883
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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