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Benjamin Polonowski, LPC

NPI 1497334122 · on the registry since 2021 · sole proprietor

Practice

Address
10 Forrest Dr
Granby, CO 80446
Phone
(303) 828-6756

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-08

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 Colorado