Individual
MS. ALICIA M POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, PLPC
Contact information
Practice address
136 CHERRY HILL DR, BELTON, MO 64012-4223
(816) 226-4678
Mailing address
136 CHERRY HILL DR, BELTON, MO 64012-4223
(816) 226-4678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3088
KS
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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