Individual provider · Type 1 NPI

Polly Hormel

Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA

NPI number 1750633079 Active

Practice location

200 7th Ave
Santa Cruz, CA 95062-4668

Fax (831) 460-4970

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750633079

Polly Hormel's National Provider Identifier is 1750633079, issued on Oct 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Oct 10, 2012.