Earl Polk III is a Counselor based in Bethel, AK. Earl Polk III practices in Bethel, AK. The NPI Number for Earl Polk III is 1871985648 and holds a License No. (Alaska).
The current practice location address for Earl Polk III is 5016 Noel Polty Blvd, Bethel, AK and can be reached out via phone at 907-543-6800.
Location: 5016 Noel Polty Blvd, Bethel, AK, 99559-1029
Provider Profile Details
NPI Number
1871985648
Provider Name
Earl Polk III
Credential
Provider Entity Type
Individual
Gender
Male
Address
5016 Noel Polty Blvd, Bethel, AK, 99559-1029
Phone Number
907-543-6800
Fax Number
Provider Enumeration Date
03/03/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006017 | 05 | AK | |
| 1584987 | 05 | AK | |
| 1020986 | 05 | AK |
Provider Business Practice Location Address Details
Address
5016 Noel Polty Blvd
City
State
Zip
99559-1029
Phone Number
907-543-6800
Fax Number
Provider Business Mailing Address Details
Address
5016 Noel Polty Blvd
City
State
Zip
99559-1029
Phone Number
907-543-6800
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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.
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