| Jan Matheson Counseling | |
|
1918 Lake Rd Ponca City OK 74604-4800 | |
| (580) 765-2581 | |
| Not Available |
| Full Name | Jan Matheson Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1918 Lake Rd, Ponca City, Oklahoma |
| Authorized Official Name and Position | Janet Marie Matheson (OWNER) |
| Authorized Official Contact | 5807652639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Matheson Counseling 1918 Lake Rd Ponca City OK 74604-4800 Ph: (580) 765-2581 | Jan Matheson Counseling 1918 Lake Rd Ponca City OK 74604-4800 Ph: (580) 765-2581 |
| NPI Number | 1255798914 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 01/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255798914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1185 (Oklahoma) | Primary |
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