Individual
MEGAN MARIE POLIQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC-GAMB
Contact information
Practice address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
Mailing address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162051
OH
101YM0800X
Mental Health Counselor
C.1801338
OH
101YP2500X
Professional Counselor
Primary
E.2203139
OH
Other
Enumeration date
09/12/2018
Last updated
09/27/2022
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