Benjamin E Polonowski, LPC

NPI #1497334122 in Granby, Colorado

Provider Information

NPI Number: 1497334122
Entity Type: Individual
Name: Benjamin E Polonowski, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Apr 8, 2021
Last Updated: Apr 8, 2021

Practice Location

Address: 10 FORREST DR
City: Granby
State: Colorado
ZIP Code: 80446
Phone: (303) 828-6756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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