June Elizabeth Polasek, L.M.H.C.
Individual provider Active NPI Mental Health Counselor · Clinton, WA
NPI 1124358874 · NPPES record last updated Oct 1, 2015
Key facts
- NPI
- 1124358874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH0006703 (WA)
- Practice address
- 3268 Hilberg LN
Clinton, WA 98236 - Phone
- (360) 632-3353
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH0006703 | WA | MD | Mental Health Counselor |
| LMHC. LH.00006703 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC. LH.00006703 | WA | |
| Mental Health Counselor | 101YM0800X | LH0006703 | WA | Yes |
Addresses
Primary practice location
3268 Hilberg LN
Clinton, WA 98236
Mailing address
P.O Box 963
Langley, WA 98260
Phone (360) 632-3353
Other providers in Clinton, WA
- Brittany Ann Olsen-Boblitt
- Kristin L Penn
- Robert William Perkins
- Pillar Physical Therapy LLC
- Henrietta Pinkens
- Gail Ptacek
- Billie Risa-Draves
- Mariam Ross
- Kimberly Rossi
- Salish Sea Physical Therapy LLC
All providers in Clinton, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.