Individual
MR. RICHARD POLONCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CBT
Contact information
Practice address
234 DEER MOUNTAIN DR, HARPERS FERRY, WV 25425-5490
(304) 876-1421
(304) 876-1421
Mailing address
234 DEER MOUNTAIN DR, HARPERS FERRY, WV 25425-5490
(304) 876-1421
(304) 876-1421
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC715
DC
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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