Individual
BRITTANY E POLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.017169
IL
101YP2500X
Professional Counselor
Primary
4378-226
WI
Other
Enumeration date
08/06/2019
Last updated
08/03/2021
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