Individual provider · Type 1 NPI
Jeanice L. Polwort, M.ED, LPC
Professional Counselor · Enid, OK
NPI number
1619133790
Active
Practice location
1522 Ramona Dr
Enid, OK 73703-7021
Mailing address
2112 E Maple Ave
Enid, OK 73701-4612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4412 (OK) |
Professional Counselor: Definition to come...
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About NPI 1619133790
Jeanice L. Polwort, M.ED, LPC's National Provider Identifier is 1619133790, issued on Jul 29, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Enid, OK. The record was last updated on Jun 1, 2026.