Provider Demographics
NPI:1487919130
Name:POLLARD, ERIN COLLEEN (LMFT)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:COLLEEN
Last Name:POLLARD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 BRISTOL ST STE J204
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-7920
Mailing Address - Country:US
Mailing Address - Phone:949-484-9449
Mailing Address - Fax:
Practice Address - Street 1:2900 BRISTOL ST STE J204
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-7920
Practice Address - Country:US
Practice Address - Phone:949-484-9449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC50907106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist