Provider Demographics
NPI:1992903991
Name:HUGHES-POLK, AKI K (MS, MA, LPCC,)
Entity type:Individual
Prefix:MS
First Name:AKI
Middle Name:K
Last Name:HUGHES-POLK
Suffix:
Gender:U
Credentials:MS, MA, LPCC,
Other - Prefix:MS
Other - First Name:AKI
Other - Middle Name:K
Other - Last Name:HUGHES-POLK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, MA, LPCC,
Mailing Address - Street 1:P.O. BOX 490272
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434
Mailing Address - Country:US
Mailing Address - Phone:612-913-8411
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 490272
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-0272
Practice Address - Country:US
Practice Address - Phone:612-913-8411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00024101YM0800X
101YM0800X
MN101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1790017721Medicaid