NPI 1013244151

George Reginald Polk, LPCLMHC

Practitioner Professional Counselor Pompano Beach, FL

Practice location

Address: 3095 N Course Dr APT 305, Pompano Beach, FL 33069-3370
Phone: (170) 357-7438
Fax: (954) 366-3539

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 0701004680 (VA)

Other Counselor providers in Florida →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence MH17414 (FL)

Registry record

NPI: 1013244151
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2009
Record last updated: 17 Nov 2020

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.