Individual provider · Type 1 NPI

Lilliam Polo

Addiction (Substance Use Disorder) Counselor · Waxahachie, TX

NPI number 1134587314 Active

Practice location

1626 W Hwy 287 Bus Ste 101
Waxahachie, TX 75165-4728

Fax (972) 906-9112

Other practice locations

  • 3300 Oak Lawn Ave Ste 107, Dallas, TX 75219-4438 · (972) 906-9112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X12045 (TX)
Specialist 174400000X12045 (TX)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12045 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134587314

Lilliam Polo's National Provider Identifier is 1134587314, issued on Feb 3, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waxahachie, TX. The record was last updated on Apr 15, 2020.