Christina Rose Polk MA LLPC

NPI 1568759777 - Counselor - 101YP2500X

NPI Details
NPI 1568759777
Gender Female
Enumeration Date 07/08/2011
Last Updated 07/08/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
42669 GARFIELD RD
CLINTON TWP MI, 48038-5036, US
Phone (586) 412-5321
Fax
Business Location
12850 FOUNTAIN SQ
STE 106
DAVISBURG MI, 48350-2552, US
Phone (248) 634-6303
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 640102524
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According to our database, Christina Rose Polk MA LLPC NPI is 1568759777, taxonomy code is 101YP2500X and license number is 640102524, license state is located at Michigan. Christina Rose Polk MA LLPC physically located at 42669 Garfield Rd, Clinton Twp MI, 48038-5036. NPI Number Christina Rose Polk MA LLPC has the Individual type.

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1568759777 NPI number is provided on an as is basis without warranty of any kind. 1568759777 is maintained by the National Plan & Provider Enumeration System. The contents of Christina Rose Polk MA LLPC are for informational purposes only.