person
Juan Polanco, PA-C
Professional Counselor in Pulaski, Virginia
NPI 1992117311

Juan Polanco is a Professional Counselor based in Pulaski, VA and is specialized in Professional. Juan Polanco practices in Pulaski, VA and has the professional credentials of PA-C. The NPI Number for Juan Polanco is 1992117311 and holds a License No. 0110008672 (Virginia).

The current practice location address for Juan Polanco is 141 E Main St Ste 420, Pulaski, VA and can be reached out via phone at 540-509-5443 and via fax at 540-440-8924.

Location: 141 E Main St Ste 420, Pulaski, VA, 24301-5085
person
Provider Profile Details
NPI Number
1992117311
Provider Name
Juan Polanco
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
141 E Main St Ste 420, Pulaski, VA, 24301-5085
Phone Number
540-509-5443
Fax Number
540-440-8924
Provider Enumeration Date
05/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
141 E Main St Ste 420
City
State
Zip
24301-5085
Phone Number
540-509-5443
Fax Number
540-440-8924
person
Provider Business Mailing Address Details
Address
141 E Main St Ste 420
City
State
Zip
24301-5085
Phone Number
540-509-5443
Fax Number
540-440-8924
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701005818 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110008672 (Virginia)
Definition
Definition to come...
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