Individual provider · Type 1 NPI

Kelly Polz

Professional Counselor · Rockford, IL

NPI number 1609375831 Active

Practice location

8616 Northern Ave
Rockford, IL 61107-5309

Call (815) 332-6049 Map

Fax (815) 332-6090

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1609375831

Kelly Polz's National Provider Identifier is 1609375831, issued on Feb 2, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Feb 2, 2018.