MR. Richard Polonchak, LPC, CBT
NPI #1346458692 in Harpers Ferry, West Virginia
Provider Information
- NPI Number
- 1346458692
- Entity Type
- Individual
- Name
- MR. Richard Polonchak, LPC, CBT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, CBT
- Enumeration Date
- May 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 234 DEER MOUNTAIN DR
- City
- Harpers Ferry
- State
- West Virginia
- ZIP Code
- 25425-5490
- Phone
- (304) 876-1421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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