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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.