Individual
MRS. ELIZABETH MARIE POLOMIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8510 SIX FORKS RD, SUITE 101, RALEIGH, NC 27615-3257
(919) 602-8572
(919) 747-4172
Mailing address
3520 PRITCHARD CT, RALEIGH, NC 27616-8973
(919) 266-9010
(919) 747-4172
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103070
—
NC
Enumeration date
03/21/2007
Last updated
03/31/2015
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