Individual
JOHN WILLIAM POLISKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMFT
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 613-5377
Mailing address
201 WAGER ST, MANCHESTER, MI 48158-9684
(248) 212-8295
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006819
MI
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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