Organization
JAN MATHESON COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MARIE MATHESON LPC (OWNER)
(580) 765-2639
Entity
Organization
Contact information
Practice address
1918 LAKE RD, PONCA CITY, OK 74604-4800
(580) 765-2581
Mailing address
1918 LAKE RD, PONCA CITY, OK 74604-4800
(580) 765-2581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1185
OK
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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