Individual provider · Type 1 NPI

George Reginald Polk, LPC; LMHC

Professional Counselor · Pompano Beach, FL

NPI number 1013244151 Active

Practice location

3095 N Course Dr Apt 305
Pompano Beach, FL 33069-3370

Call (170) 357-7438 Map

Fax (954) 366-3539

Other practice locations

  • 5675 Stone Rd Ste 300, Centreville, VA 20120-1667 · (703) 577-4389

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMH17414 (FL)
Professional Counselor Primary 101YP2500X0701004680 (VA)

Professional Counselor: Definition to come...

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About NPI 1013244151

George Reginald Polk, LPC; LMHC's National Provider Identifier is 1013244151, issued on Nov 11, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pompano Beach, FL. The record was last updated on Nov 17, 2020.