Individual provider · Type 1 NPI
Lisa Polk-Woolfolk, MS, LLPC, CAC-M
Professional Counselor · Detroit, MI
NPI number
1003126970
Active
Practice location
3731 Rivard St
Detroit, MI 48207-4740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 104717 (MI) |
| Professional Counselor Primary | 101YP2500X | 6401012200 (MI) |
| Social Worker | 104100000X | 6802063821 (MI) |
Professional Counselor: Definition to come...
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About NPI 1003126970
Lisa Polk-Woolfolk, MS, LLPC, CAC-M's National Provider Identifier is 1003126970, issued on Oct 13, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Oct 13, 2010.