MS. Mercedes Lynn Polk, MERCEDES

NPI #1073079208 in North Las Vegas, Nevada

Provider Information

NPI Number: 1073079208
Entity Type: Individual
Name: MS. Mercedes Lynn Polk, MERCEDES
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: MERCEDES
Enumeration Date: Feb 12, 2019
Last Updated: Feb 12, 2019

Practice Location

Address: 2621 ROYAL STREET
City: North Las Vegas
State: Nevada
ZIP Code: 89030
Phone: (702) 601-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Technician	106S00000X	Primary

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