Individual
MRS. ANGELA POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 VALDEZ ST UNIT 612, OAKLAND, CA 94612-3163
(510) 395-5083
Mailing address
1919 MARKET ST UNIT 110, OAKLAND, CA 94607-2751
(510) 395-5083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109463
CA
Other
Enumeration date
07/29/2011
Last updated
05/15/2024
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