Khersonskiy, Polina

Khersonskiy, Polina is an individual health care provider with primary practice located at 3626 Balboa St , San Francisco CA 94121-2604. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Khersonskiy, Polina can be contacted via phone (415) 668-5955.

Contact Information

Primary practice address
3626 Balboa St San Francisco CA 94121-2604
Phone: (415) 668-5955
Fax: (415) 668-0246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X California
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1730423013
LBN Legal business name Khersonskiy, Polina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2012
Last updated Sep 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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