Individual provider · Type 1 NPI

Latonya Polk, CMHT

Mental Health Counselor · Jackson, MS

NPI number 1821603705 Active

Practice location

460 Briarwood Dr Ste 510
Jackson, MS 39206-3057

Call (601) 956-4816 Map

Fax (601) 956-4817

Mailing address

PO Box 13509
Jackson, MS 39236-3509

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821603705

Latonya Polk, CMHT's National Provider Identifier is 1821603705, issued on Sep 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Sep 9, 2020.