Dwight Pollock
Pastoral Counselor
1124 Park Ln
Jasper
, Florida 32052-6208
Dwight Pollock
Pastoral Counselor
1124 Park Ln
Jasper
, Florida 32052-6208
(386) 623-1023
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dwight Pollock
- 1124 Park Ln
- Jasper, FL
- Zip : 32052-6208
- Phone : (386) 623-1023
Second Address
- Dwight Pollock
- 1124 Park Ln
- Jasper, FL
- Zip : 32052-6208
- Phone : (386) 623-1023
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | P217050 | FL |
National Provider Identifier
| NPI | 1265850192 |
|---|---|
| Provider Name | Dwight Pollock |
| First Address | Jasper, FL 32052-6208 |
| Second Address | Jasper, FL 32052-6208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2014 |
| Last Update Date | 28/03/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.