Provider Demographics
NPI:1528291895
Name:POLLARD, CHRISTINA B (LPC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:B
Last Name:POLLARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:B
Other - Last Name:POLLARD-DURR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-0184
Mailing Address - Country:US
Mailing Address - Phone:678-793-9151
Mailing Address - Fax:770-879-9409
Practice Address - Street 1:3590 COVINGTON HWY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1850
Practice Address - Country:US
Practice Address - Phone:404-687-9188
Practice Address - Fax:404-687-9189
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003754101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional