| Doctor Name: | POLLY SIKORA |
| NPI Number: | 1306160197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 0435543 |
| Business Practice Address: | 104 S Main Street Suite 5b Mancos, CO - 81328 |
| Business Phone Number: | 9707597328 |
| Business Fax Number: | |
| Mailing Address: | 41263 Road G, MANCOS |
| State: | CO |
| Postal Code: | 813288928 |
| Phone Number: | 9707597328 |
| Fax Number: | 9707125413 |
| NPI Enumeration Date: | 03/23/2010 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 0435543 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |