Individual provider · Type 1 NPI

Elysa Polovin

Mental Health Counselor · Boulder, CO

NPI number 1154885226 Active

Practice location

1200 Yarmouth Ave Unit C-1B
Boulder, CO 80304-4803

Call (303) 888-9930 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154885226

Elysa Polovin's National Provider Identifier is 1154885226, issued on Jan 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jan 23, 2019.