| Doctor Name: | CAROL POLZIN |
| NPI Number: | 1285021667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CC00969 |
| Business Practice Address: | 716 Sibley Ave Gaylord, MN - 553342386 |
| Business Phone Number: | 5072379989 |
| Business Fax Number: | 5072372027 |
| Mailing Address: | 1407 S State St, NEW ULM |
| State: | MN |
| Postal Code: | 560733715 |
| Phone Number: | 5073543181 |
| Fax Number: | 5073543183 |
| NPI Enumeration Date: | 04/23/2015 |
| NPI Last Update Date: | 04/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CC00969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |