Individual
MRS. LISA POLK-WOOLFOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LLPC, CAC-M
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
104717
MI
101YP2500X
Professional Counselor
Primary
6401012200
MI
104100000X
Social Worker
6802063821
MI
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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