| Doctor Name: | MS. ANDREA POLLACK |
| NPI Number: | 1023228418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, CAP, |
| License Number: | 2316 |
| Business Practice Address: | 1000 Sw 2nd Ct. Fort Lauderdale, FL - 33325 |
| Business Phone Number: | 9548311505 |
| Business Fax Number: | |
| Mailing Address: | 11536 Terra Bella Blvd, PLANTATION |
| State: | FL |
| Postal Code: | 333252940 |
| Phone Number: | 9544722311 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2316 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |