Individual
JASON POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Contact information
Practice address
1777 S BELLAIRE ST STE 165, DENVER, CO 80222-4310
(720) 282-4590
(303) 997-0072
Mailing address
1777 S BELLAIRE ST STE 165, DENVER, CO 80222-4310
(720) 282-4590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000426
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923905
CO
Other
Enumeration date
08/17/2015
Last updated
09/23/2025
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