Individual provider · Type 1 NPI
Tamela Stacy Polanin, LCPC
Professional Counselor · Vandalia, IL
NPI number
1982255592
Active
Practice location
1703 W Fletcher St
Vandalia, IL 62471-3117
Mailing address
2339 N 2000 St
St. Elmo, IL 62458-4175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.012372 (IL) |
| Professional Counselor Primary | 101YP2500X | 180.012372 (IL) |
Professional Counselor: Definition to come...
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About NPI 1982255592
Tamela Stacy Polanin, LCPC's National Provider Identifier is 1982255592, issued on Sep 25, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vandalia, IL. The record was last updated on Nov 28, 2024.