Jackalynn Wilson
NPI #1659923209 in Forty Fort, Pennsylvania
Provider Information
- NPI Number
- 1659923209
- Entity Type
- Individual
- Name
- Jackalynn Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 14, 2019
- Last Updated
- Aug 18, 2023
Practice Location
- Address
- 1169 WYOMING AVE
- City
- Forty Fort
- State
- Pennsylvania
- ZIP Code
- 18704-4003
- Phone
- (570) 904-7363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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