Individual provider · Type 1 NPI
Latoya Nichole Polk, LPC
Professional Counselor · Lawrenceville, GA
NPI number
1265060370
Active
Practice location
867 Buie Way
Lawrenceville, GA 30045-7191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC006396 (GA) |
Professional Counselor: Definition to come...
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About NPI 1265060370
Latoya Nichole Polk, LPC's National Provider Identifier is 1265060370, issued on Apr 1, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawrenceville, GA. The record was last updated on Apr 1, 2020.