Individual provider · Type 1 NPI
Benjamin E. Polonowski, LPC
Professional Counselor · Granby, CO
NPI number
1497334122
Active
Practice location
10 Forrest Dr
Granby, CO 80446
Mailing address
PO Box 4251
Granby, CO 80446-4251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC.0016481 (CO) |
Professional Counselor: Definition to come...
Other professional counselor providers in Granby
About NPI 1497334122
Benjamin E. Polonowski, LPC's National Provider Identifier is 1497334122, issued on Apr 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Granby, CO. The record was last updated on Apr 8, 2021.