| Mr John Jason Wallace, LCSW | |
|
1111 E End Blvd, Wilkes Barre, PA 18711-0030 | |
| (570) 824-3521 | |
| Not Available |
| Full Name | Mr John Jason Wallace |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1111 E End Blvd, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063652097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW015384 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Jason Wallace, LCSW 1111 E End Blvd, Wilkes Barre, PA 18711-0030 Ph: (570) 824-3521 | Mr John Jason Wallace, LCSW 1111 E End Blvd, Wilkes Barre, PA 18711-0030 Ph: (570) 824-3521 |
Ms. Colleen Ann Lutchko, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 | |
Mr. Anthony Black, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 Fax: 570-552-6021 | |
Heather Catherine Pugliese, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7908 Fax: 570-808-5592 | |
Mr. Joshua John Urso, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 Fax: 570-819-5118 | |
Patricia P Hoovler, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 | |
Ms. Eve Souchik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 E Northampton St, Wilkes Barre, PA 18701 Phone: 570-822-7118 Fax: 570-829-7781 |