Individual
HARVEY R POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
212 MEDICAL DR, NATCHITOCHES, LA 71457-6052
(318) 357-3283
Mailing address
212 MEDICAL DR, NATCHITOCHES, LA 71457-6052
(318) 357-3283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1152
LA
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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