MRS. Lisa Polk-Woolfolk, MS, LLPC, CAC-M

NPI #1003126970 in Detroit, Michigan

Provider Information

NPI Number: 1003126970
Entity Type: Individual
Name: MRS. Lisa Polk-Woolfolk, MS, LLPC, CAC-M
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MS, LLPC, CAC-M
Enumeration Date: Oct 13, 2010
Last Updated: Oct 13, 2010

Practice Location

Address: 3731 RIVARD ST
City: Detroit
State: Michigan
ZIP Code: 48207-4740
Phone: (313) 258-9713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary
Social Worker	104100000X

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