Doctor Name: | MRS. DIANA JENNINGS-POLLARD |
NPI Number: | 1346490786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, LCPC |
License Number: | MH9243 |
Business Practice Address: | 6100 Radion Station Road Laplata, MD - 20646 |
Business Phone Number: | 3016099887 |
Business Fax Number: | |
Mailing Address: | 6100 Radio Station Rd, LAPLATA |
State: | MD |
Postal Code: | 20646 |
Phone Number: | 8635570123 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2008 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH9243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |