Individual
SARA ANNE POLANCHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LCSW
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 243-4140
Mailing address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 243-4140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2373
MT
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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