Organization
PREMIER COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY POLK LIMHP, LADC (CLINICAL THERAPIST)
(712) 870-1445
Entity
Organization
Contact information
Practice address
625 E 39TH ST, SOUTH SIOUX CITY, NE 68776-3445
(712) 870-1445
Mailing address
3421 MACOMB AVE, SIOUX CITY, IA 51106-1626
(712) 870-1445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1139
NE
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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