Individual
MR. GEORGE REGINALD POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC; LMHC
Contact information
Practice address
3095 N COURSE DR APT 305, POMPANO BEACH, FL 33069-3370
(170) 357-7438
(954) 366-3539
Mailing address
3095 N COURSE DR APT 305, POMPANO BEACH, FL 33069-3370
(703) 577-4389
(954) 366-3539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH17414
FL
101YP2500X
Professional Counselor
Primary
0701004680
VA
Other
Enumeration date
11/11/2009
Last updated
11/17/2020
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