MATTHEW POLLARD NCC, LPC
NPI 1386416196
Counselor - Professional in Fayetteville, PA
Active since October 25, 2023
About Matthew Pollard Ncc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW POLLARD NCC, LPC (NPI 1386416196) is an individual professional provider in Fayetteville, Pennsylvania, licensed in Pennsylvania (PC015861) and active in the NPI registry since October 2023.
NPPES Registry Identity
NPI1386416196
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW POLLARDCredential: NCC, LPC
Location Address626 COLDSPRING RDFayetteville, PA 17222-9755
Mailing Address626 Coldspring RdFayetteville, PA 17222-9755
Phone(717) 496-1894
Sole ProprietorNo
Enumeration DateOctober 25, 2023
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1386416196 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC015861
626 COLDSPRING RD, Fayetteville, PA 17222
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386416196, enumerated as an "individual" on October 25, 2023.
The provider is located at 626 COLDSPRING RD FAYETTEVILLE, PA 17222 and the phone number is (717) 496-1894.
Counselor with taxonomy code 101YP2500X and a focus in Professional.