SearchMississippi101YP2500X

Edrice Polk, LPC

NPI 1871028225 · on the registry since 2017 · sole proprietor

Practice

Address
2211 Columbia Ave
Prentiss, MS 39474
Phone
(601) 606-5012
Fax
(601) 792-4311

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-24

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 Mississippi