RYAN POLKA

FORT COLLINS, CO
NPI1447635685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  LPCC.0017909)
Enumeration Date2015-07-29
Last Update Date2020-10-23
Business Address
RYAN POLKA LPCC, MA
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524-3218
Phone number: 970-494-4200
Mailing Address
RYAN POLKA LPCC, MA
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525-5540
Phone number: 970-494-4200
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