EARL ALPHONZO POLK IV
NPI 1346856036
Counselor in Bethel, AK

Active since September 18, 2020
1360 CALISTA DR, BETHEL, AK 99559(907) 543-6830(907) 543-3454 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Earl Alphonzo Polk Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EARL ALPHONZO POLK IV (NPI 1346856036) is an individual counselor in Bethel, Alaska and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1346856036
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEARL ALPHONZO POLK IV
Location Address1360 CALISTA DRBethel, AK 99559
Mailing AddressPo Box 528Bethel, AK 99559-0528 · (907) 543-6830 · Fax (907) 543-3454
Fax(907) 543-3454
Sole ProprietorNo
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 16, 2020
NPI 1346856036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1360 CALISTA DR, Bethel, AK 99559

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346856036, enumerated as an "individual" on September 18, 2020.

The provider is located at 1360 CALISTA DR BETHEL, AK 99559 and the phone number is (907) 543-6830.

Counselor with taxonomy code 101Y00000X.