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Lilliam Polo
Addiction (Substance Use Disorder) Counselor in Waxahachie, Texas
NPI 1134587314

Lilliam Polo is an Addiction (Substance Use Disorder) Counselor based in Waxahachie, TX and is specialized in Addiction (Substance Use Disorder). Lilliam Polo practices in Waxahachie, TX. The NPI Number for Lilliam Polo is 1134587314 and holds a License No. 12045 (Texas).

The current practice location address for Lilliam Polo is 1626 W Hwy 287 Bus Ste 101, Waxahachie, TX and can be reached out via phone at 214-864-6988 and via fax at 972-906-9112.

Location: 1626 W Hwy 287 Bus Ste 101, Waxahachie, TX, 75165-4728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134587314
Provider Name
Lilliam Polo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1626 W Hwy 287 Bus Ste 101, Waxahachie, TX, 75165-4728
Phone Number
214-864-6988
Fax Number
972-906-9112
Provider Enumeration Date
02/03/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013287721 05 TX
institution
Provider Business Practice Location Address Details
Address
1626 W Hwy 287 Bus Ste 101
City
Waxahachie
State
Texas
Zip
75165-4728
Phone Number
214-864-6988
Fax Number
972-906-9112
person
Provider Business Mailing Address Details
Address
1626 W Hwy 287 Bus Ste 101
City
Waxahachie
State
Texas
Zip
75165-4728
Phone Number
214-864-6988
Fax Number
972-906-9112
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12045 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
12045 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12045 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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