Individual provider · Type 1 NPI

Kelley J. Polk, LIMHP, LADC

Mental Health Counselor · Sioux City, IA

NPI number 1104092014 Active

Practice location

507 7th St Ste 213
Sioux City, IA 51101-1125

Call (712) 870-1445 Map

Fax (712) 248-8866

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001074 (IA)
Addiction (Substance Use Disorder) Counselor 101YA0400X965 (NE)
Mental Health Counselor 101YM0800X1139 (NE)

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About NPI 1104092014

Kelley J. Polk, LIMHP, LADC's National Provider Identifier is 1104092014, issued on May 1, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sioux City, IA. The record was last updated on Dec 1, 2025.