Individual
CHRISTI POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3505 LAKE LYNDA DR STE 200, ORLANDO, FL 32817-8333
(407) 992-4452
Mailing address
195 LEGENDS LN, HOLLISTER, MO 65672-5855
(321) 356-8055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MT4100
FL
Other
Enumeration date
08/08/2011
Last updated
08/18/2021
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