NPI 1295524544
Isaiah Polstra
Practice location
- Address
- 1609 Bowling Green Dr, Sacramento, CA 95815-4101
- Phone
- (916) 880-0272
- Mailing address
- 5318 Long Canyon Dr, Fair Oaks, CA 95628-4181
Registered specialties (2)
Case Management Agency
Primary
Addiction (Substance Use Disorder) Counselor
Registry record
- NPI
- 1295524544
- Entity type
- Individual
- Sex (as registered)
- X
- NPI issued
- 3 May 2025
- Record last updated
- 3 May 2025
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.