Shane Michael Polk
Shane Michael Polk is a Counselor in Bethel, Alaska. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
841 State HwyBethel, AK 99559
Phone: (907) 543-6731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1568978799 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 26, 2017 |
| Last updated in NPPES | February 10, 2020 |
| Certification date | February 10, 2020 |
| Mailing address | P.O. Box 528, Attn: Behavioral Health, Bethel, AK 99559 |
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