Doctor Name: | JANET MARIE MATHESON |
NPI Number: | 1669532792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS LPC |
License Number: | 1185 |
Business Practice Address: | 1918 Lake Road Ponca City, OK - 746041918 |
Business Phone Number: | 5807652639 |
Business Fax Number: | 5807652581 |
Mailing Address: | 1918 Lake Road, PONCA CITY |
State: | OK |
Postal Code: | 746041918 |
Phone Number: | 5807652639 |
Fax Number: | 5807652581 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |