Provider Demographics
NPI:1538793260
Name:POLLARD, TRISHIA ANN (LCPC)
Entity type:Individual
Prefix:
First Name:TRISHIA
Middle Name:ANN
Last Name:POLLARD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 3RD AVENUE WEST N
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3616
Mailing Address - Country:US
Mailing Address - Phone:303-670-2345
Mailing Address - Fax:
Practice Address - Street 1:75 CLAREMONT ST STE C
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3500
Practice Address - Country:US
Practice Address - Phone:406-758-5155
Practice Address - Fax:406-758-5166
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-42637101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional