Individual
MR. JON S POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. , LPC
Contact information
Practice address
606 KIHEKAH AVE, PAWHUSKA, OK 74056-4225
(918) 287-5426
Mailing address
1860 E 15TH ST, TULSA, OK 74104-4611
(918) 949-4430
(918) 949-4431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6120
OK
Other
Enumeration date
03/16/2012
Last updated
01/29/2018
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