Individual
DENISE POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 398-7050
Mailing address
9015 COTTAGE GROVE PL, HIGHLAND, IN 46322-2124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001239A
IN
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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