Individual
JASON ZWINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 W SOUTH AVE, PONCA CITY, OK 74601-6133
(844) 458-2100
Mailing address
407 W SOUTH AVE, PONCA CITY, OK 74601-6133
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 3834
OK
Other
Enumeration date
10/18/2007
Last updated
06/13/2023
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