Individual
JOHN POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
6805 BARNETT RD, BALTIMORE, MD 21239-1215
(443) 331-5949
Mailing address
6805 BARNETT RD, BALTIMORE, MD 21239-1215
(443) 226-2691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC10748
MD
Other
Enumeration date
03/28/2019
Last updated
08/07/2024
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