Individual
ISAIAH POLSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1609 BOWLING GREEN DR, SACRAMENTO, CA 95815-4101
(916) 880-0272
Mailing address
5318 LONG CANYON DR, FAIR OAKS, CA 95628-4181
(916) 880-0272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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