Tanager Polowchak, MA, LPCC

NPI 1336418730 · on the registry since 2011

Practice

Address: 10729 Town Square Dr Ne Ste 120
Blaine, MN 55449
Phone: (763) 343-9010
Fax: (763) 343-9011
Organisation at this address: Imagine Smiles
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YM0800X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota