Individual
MS. LA TONYA KLISH-POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
104 BORDERS WAY STE 500, WARNER ROBINS, GA 31088-8967
(214) 454-6871
Mailing address
104 BORDERS WAY STE 500, WARNER ROBINS, GA 31088-8967
(214) 454-6871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013895
GA
Other
Enumeration date
01/23/2023
Last updated
05/15/2023
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