Pollock, Jean

Pollock, Jean is an sole proprietor health care provider with primary practice located at 229 Western Ave , Brattleboro VT 05301-6589. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pollock, Jean can be contacted via phone (802) 257-1047.

Contact Information

Primary practice address
229 Western Ave Brattleboro VT 05301-6589
Phone: (802) 257-1047
Fax: (802) 348-7277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000009 Vermont

Profile Details

NPI number 1235186479
LBN Legal business name Pollock, Jean
Credentials MHC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Dec 16th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235186479 NPPES
Vermont MEDICAID 1011069
Vermont Other CQAH: 11325993
Vermont Other BCBSVT: 6191
Vermont Other MAGELLAN: 50794000

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