person
Jackalynn Wilson
Professional Counselor in Forty Fort, Pennsylvania
NPI 1659923209

Jackalynn Wilson is a Professional Counselor based in Old Forge, PA and is specialized in Professional. Jackalynn Wilson practices in Forty Fort, PA. The NPI Number for Jackalynn Wilson is 1659923209 and holds a License No. PC011549 (Pennsylvania).

The current practice location address for Jackalynn Wilson is 1169 Wyoming Ave, Forty Fort, PA and can be reached out via phone at 570-904-7363.

Location: 1169 Wyoming Ave, Forty Fort, PA, 18518-1019
person
Provider Profile Details
NPI Number
1659923209
Provider Name
Jackalynn Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1169 Wyoming Ave, Forty Fort, PA, 18518-1019
Phone Number
570-904-7363
Fax Number
Provider Enumeration Date
07/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1169 Wyoming Ave
City
State
Zip
18704-4003
Phone Number
570-904-7363
Fax Number
person
Provider Business Mailing Address Details
Address
1169 Wyoming Ave
City
State
Zip
18704-4003
Phone Number
570-904-7363
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC011549 (Pennsylvania)
Definition
Definition to come...
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