Provider Demographics
NPI:1396189627
Name:POLLARD, LAUREN RAY (LMHC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:RAY
Last Name:POLLARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 E INTERLAKEN BLVD
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-3432
Mailing Address - Country:US
Mailing Address - Phone:206-390-1316
Mailing Address - Fax:
Practice Address - Street 1:2143 E INTERLAKEN BLVD
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-3432
Practice Address - Country:US
Practice Address - Phone:206-390-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60329791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA602959635OtherUBI