| Jennifer Lee Wallace, MSW, LSW | |
|
1 W Main St, Fleetwood, PA 19522-1323 | |
| (610) 944-0445 | |
| (610) 944-8834 |
| Full Name | Jennifer Lee Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1 W Main St, Fleetwood, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679983449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW126587 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lee Wallace, MSW, LSW 555 Ridge Rd, Orwigsburg, PA 17961-2217 Ph: (610) 960-7658 | Jennifer Lee Wallace, MSW, LSW 1 W Main St, Fleetwood, PA 19522-1323 Ph: (610) 944-0445 |
Louise Jacques, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 | |
Jill Wynne Sober, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22-24 N. Franklin St, Fleetwood, PA 19522 Phone: 610-944-0445 Fax: 610-944-1196 | |
Nicole Ann Kacmar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 | |
Gregory Moyer, M.A., L.P.C., L.M.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-8744 | |
Suellen Lovell Ketterer, MA Counselor Medicare: Medicare Enrolled Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 | |
Caitlin Romano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Main St, Fleetwood, PA 19522 Phone: 610-207-1372 | |
Jessica Adam, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 N Franklin St, Fleetwood, PA 19522 Phone: 610-944-0445 |