Individual provider · Type 1 NPI

Kathleen Virginia Polk-Ickes, MSC

Mental Health Counselor · Gig Harbor, WA

NPI number 1669078887 Active

Practice location

3208 50th Street Ct Ste 202
Gig Harbor, WA 98335-8583

Call (253) 280-9888 Map

Mailing address

2306 197th Ave SW
Lakebay, WA 98349-9797

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1669078887

Kathleen Virginia Polk-Ickes, MSC's National Provider Identifier is 1669078887, issued on Dec 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gig Harbor, WA. The record was last updated on Dec 11, 2020.