Individual provider · Type 1 NPI
Audrey Martina Polk, LIMITED LIABILITY CO
Mental Health Counselor · Farmington Hills, MI
NPI number
1306324256
Active
Practice location
23920 Middlebelt Rd Apt 3205
Farmington Hills, MI 48336-2962
Other practice locations
- 24430 Ford Rd Ste B, Dearborn Heights, MI 48127-3280 · (248) 429-9145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6451016714 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1306324256
Audrey Martina Polk, LIMITED LIABILITY CO's National Provider Identifier is 1306324256, issued on Aug 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington Hills, MI. The record was last updated on Dec 2, 2024.