Individual provider · Type 1 NPI

Jason Polk

Professional Counselor · Flowood, MS

NPI number 1831669043 Active

Practice location

132 Riverview Dr Ste B
Flowood, MS 39232-8924

Call (601) 981-2707 Map

Other practice locations

  • 143 Hunt Cir, Madison, MS 39110-8651 · (601) 260-1691

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2335 (MS)
Mental Health Counselor 101YM0800X2335 (MS)
Professional Counselor Primary 101YP2500X2335 (MS)

Professional Counselor: Definition to come...

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About NPI 1831669043

Jason Polk's National Provider Identifier is 1831669043, issued on Nov 30, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Flowood, MS. The record was last updated on Dec 1, 2020.