Individual
TANAGER YVONNE POLOWCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
10729 TOWN SQUARE DR NE STE 120, BLAINE, MN 55449-7923
(763) 343-9010
(763) 343-9011
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC2804
MN
101YP2500X
Professional Counselor
Primary
2804
MN
Other
Enumeration date
12/14/2011
Last updated
04/07/2025
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