Individual
KELLEY J POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP,LADC
Contact information
Practice address
507 7TH ST STE 213, SIOUX CITY, IA 51101-1125
(712) 870-1445
(712) 248-8866
Mailing address
507 7TH ST STE 213, SIOUX CITY, IA 51101-1125
(712) 870-1445
(712) 248-8866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
965
NE
101YM0800X
Mental Health Counselor
Primary
001074
IA
101YM0800X
Mental Health Counselor
1139
NE
Other
Enumeration date
05/01/2008
Last updated
12/01/2025
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