Individual provider · Type 1 NPI

Shane Michael Polk

Counselor · Bethel, AK

NPI number 1568978799 Active

Practice location

841 State Hwy
Bethel, AK 99559

Mailing address

P.o. Box 528, Attn: Behavioral Health
Bethel, AK 99559

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1568978799

Shane Michael Polk's National Provider Identifier is 1568978799, issued on Dec 26, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bethel, AK. The record was last updated on Feb 10, 2020.