Individual provider · Type 1 NPI

Kiyara Denai Polk

Mental Health Counselor · Chicago, IL

NPI number 1376207266 Active

Practice location

2930 S Michigan Ave Ste 100
Chicago, IL 60616-3484

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1376207266

Kiyara Denai Polk's National Provider Identifier is 1376207266, issued on Oct 26, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 26, 2021.