Individual
CAROLINE POLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 N WALNUT ST, HARTFORD CITY, IN 47348-1367
(260) 563-8453
(260) 569-0335
Mailing address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
(260) 569-0335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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