Provider Demographics
NPI:1508990425
Name:POLLOCK, BARBARA ANNE (LPC, CRC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 FOXBERRY DR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9222
Mailing Address - Country:US
Mailing Address - Phone:828-687-0050
Mailing Address - Fax:828-687-0801
Practice Address - Street 1:37 FOXBERRY DR
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9222
Practice Address - Country:US
Practice Address - Phone:828-687-0050
Practice Address - Fax:828-687-0801
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3019101Y00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered171M00000XOther Service ProvidersCase Manager/Care Coordinator