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Edwina Denise Polk, LPC
Counselor in Charlotte, North Carolina
NPI 1104486117

Edwina Denise Polk is a Counselor based in Charlotte, NC. Edwina Denise Polk practices in Charlotte, NC and has the professional credentials of LPC. The NPI Number for Edwina Denise Polk is 1104486117 and holds a License No. 11379 (North Carolina).

The current practice location address for Edwina Denise Polk is 10130 Mallard Creek Rd Ste 300, Charlotte, NC and can be reached out via phone at 704-320-8766.

Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC, 28269-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104486117
Provider Name
Edwina Denise Polk
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
10130 Mallard Creek Rd Ste 300, Charlotte, NC, 28269-2156
Phone Number
704-320-8766
Fax Number
Provider Enumeration Date
06/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10130 Mallard Creek Rd Ste 300
City
Charlotte
State
North Carolina
Zip
28262-6001
Phone Number
704-320-8766
Fax Number
person
Provider Business Mailing Address Details
Address
10130 Mallard Creek Rd Ste 300
City
Charlotte
State
North Carolina
Zip
28262-6001
Phone Number
704-320-8766
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
11379 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11379 (North Carolina)
Definition
Definition to come...
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