| Jackalynn Wilson, | |
|
1169 Wyoming Ave, Forty Fort, PA 18704-4003 | |
| (570) 904-7363 | |
| Not Available |
| Full Name | Jackalynn Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1169 Wyoming Ave, Forty Fort, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659923209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC011549 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackalynn Wilson, 118 Amity Ave, Old Forge, PA 18518-1019 Ph: (570) 905-0669 | Jackalynn Wilson, 1169 Wyoming Ave, Forty Fort, PA 18704-4003 Ph: (570) 904-7363 |
Kimberly Stokes, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-762-9592 | |
George Mercurio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 Fax: 570-348-4079 | |
Julia Lieback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-472-8938 | |
Tiffani Gebhardt, Counselor Medicare: Medicare Enrolled Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 Fax: 570-348-4079 | |
Allyson Nichole Villella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 Fax: 570-348-4079 | |
Ms. Jeanne Ann Grymko, L.P.C., C.A.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E Turner St, Forty Fort, PA 18704 Phone: 570-313-6449 |