Individual
JARED RANDALL POLATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
1480 CHAPEL RIDGE RD STE 220, APEX, NC 27502-8627
(919) 355-9792
Mailing address
7824 GREEN LEVEL CHURCH RD, APEX, NC 27523-9466
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20253A
NC
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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