person
Mrs. Jeanice L Polwort, MED,LPC
Professional Counselor in Enid, Oklahoma
NPI 1619133790

Jeanice L Polwort is a Professional Counselor based in Enid, OK and is specialized in Professional. Jeanice L Polwort practices in Enid, OK and has the professional credentials of MED,LPC. The NPI Number for Jeanice L Polwort is 1619133790 and holds a License No. 4412 (Oklahoma).

The current practice location address for Jeanice L Polwort is 2112 E Maple Ave, Enid, OK and can be reached out via phone at 580-747-2289 and via fax at 580-234-3553. You can also correspond with Jeanice L Polwort through the mailing address at 2112 E MAPLE AVE, ENID, OK - 73701-4612 (mailing address contact number: 580-747-2289).

Location: 2112 E Maple Ave, Enid, OK, 73701-4612
person
Provider Profile Details
NPI Number
1619133790
Provider Name
Jeanice L Polwort
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
2112 E Maple Ave, Enid, OK, 73701-4612
Phone Number
580-747-2289
Fax Number
580-234-3553
Provider Enumeration Date
07/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2112 E Maple Ave
City
State
Zip
73701-4612
Phone Number
580-747-2289
Fax Number
580-234-3553
person
Provider Business Mailing Address Details
Address
2112 E Maple Ave
City
State
Zip
73701-4612
Phone Number
580-747-2289
Fax Number
580-234-3553
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4412 (Oklahoma)
Definition
Definition to come...
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