person
Latonya Polk, CMHT
Mental Health Counselor in Jackson, Mississippi
NPI 1821603705

Latonya Polk is a Mental Health Counselor based in Jackson, MS and is specialized in Mental Health. Latonya Polk practices in Jackson, MS and has the professional credentials of CMHT. The NPI Number for Latonya Polk is 1821603705 and holds a License No. (Mississippi).

The current practice location address for Latonya Polk is 460 Briarwood Dr Ste 510, Jackson, MS and can be reached out via phone at 601-956-4816 and via fax at 601-956-4817.

Location: 460 Briarwood Dr Ste 510, Jackson, MS, 39236-3509
person
Provider Profile Details
NPI Number
1821603705
Provider Name
Latonya Polk
Credential
CMHT
Provider Entity Type
Individual
Gender
Female
Address
460 Briarwood Dr Ste 510, Jackson, MS, 39236-3509
Phone Number
601-956-4816
Fax Number
601-956-4817
Provider Enumeration Date
09/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01670076 05 MS
institution
Provider Business Practice Location Address Details
Address
460 Briarwood Dr Ste 510
City
State
Zip
39206-3057
Phone Number
601-956-4816
Fax Number
601-956-4817
person
Provider Business Mailing Address Details
Address
460 Briarwood Dr Ste 510
City
State
Zip
39206-3057
Phone Number
601-956-4816
Fax Number
601-956-4817
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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