Whalio Doctors

NPI 1003126970

Lisa Polk-Woolfolk, MSLLPCCACM

Practitioner Professional Counselor Detroit, MI

Practice location

Address
3731 Rivard St, Detroit, MI 48207-4740
Phone
(313) 258-9713

Registered specialties (3)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6401012200 (MI)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 104717 (MI)
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 6802063821 (MI)

Registry record

NPI
1003126970
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Oct 2010
Record last updated
13 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.