Debra Polley, LCSW

NPI 1518044304 · on the registry since 2006 · sole proprietor

Practice

Address: 106 Three Rivers N
Fort Wayne, IN 46802
Phone: (260) 426-5778
Fax: (260) 423-6412
Organisation at this address: Black & Associates Counseling Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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 Indiana