Individual provider · Type 1 NPI

Ryan Polka, LPCC, MA

Mental Health Counselor · Fort Collins, CO

NPI number 1447635685 Active

Practice location

1217 Riverside Ave
Fort Collins, CO 80524-3218

Call (970) 494-4200 Map

Mailing address

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCC.0017909 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1447635685

Ryan Polka, LPCC, MA's National Provider Identifier is 1447635685, issued on Jul 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Oct 23, 2020.