Edrice Polk, LPC
NPI #1871028225 in Prentiss, Mississippi
Provider Information
- NPI Number
- 1871028225
- Entity Type
- Individual
- Name
- Edrice Polk, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Apr 24, 2017
- Last Updated
- Apr 24, 2017
Practice Location
- Address
- 2211 COLUMBIA AVE
- City
- Prentiss
- State
- Mississippi
- ZIP Code
- 39474-0712
- Phone
- (601) 606-5012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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