Individual provider · Type 1 NPI

Tamira Polk

Mental Health Counselor · Covington, LA

NPI number 1144689530 Active

Practice location

19331 N 12th St
Covington, LA 70433-5228

Call (985) 400-5901 Map

Fax (985) 400-5164

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144689530

Tamira Polk's National Provider Identifier is 1144689530, issued on Feb 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Covington, LA. The record was last updated on Feb 15, 2016.