Individual
JEFFREY POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4408 CLEMENT DR SW, ATLANTA, GA 30331-4516
(404) 673-9992
Mailing address
4408 CLEMENT DR SW, ATLANTA, GA 30331-4516
(404) 673-9992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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