Christopher Dale Polzin, MBS, LPC | |
1021 W Buchanan St Ste 6, California, MO 65018-1238 | |
(573) 777-7501 | |
Not Available |
Full Name | Christopher Dale Polzin |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1021 W Buchanan St Ste 6, California, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922375088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7348 (Oklahoma) | Secondary |
101YP2500X | Counselor - Professional | 2022029311 (Missouri) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376904086 PECOS PAC ID: 0244256246 Enrollment ID: O20151014000914 |
Mailing Address | Practice Location Address |
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Christopher Dale Polzin, MBS, LPC 2885 W Battlefield St, Springfield, MO 65807-3952 Ph: (417) 761-5000 | Christopher Dale Polzin, MBS, LPC 1021 W Buchanan St Ste 6, California, MO 65018-1238 Ph: (573) 777-7501 |
Cathy Figgins, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 S Oak St, California, MO 65018 Phone: 573-796-2898 | |
William Wallace, CRAADC, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 S Oak, California, MO 65018 Phone: 573-796-2233 | |
Mrs. Tina Marie Kirchner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 401 E Madison St, California, MO 65018 Phone: 573-680-1872 |