# WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275981573
- **Authorized official:** JASON HARLEN MA (CEO)
- **Authorized official phone:** (570) 820-8888

## Contact information

- **Practice address:** 480 PIERCE ST, 316-317, KINGSTON, PA 18704-5512
- **Practice address phone:** (570) 820-8888
- **Mailing address:** 437 N MAIN ST, WILKES BARRE, PA 18705-1613
- **Mailing address phone:** (570) 820-8888
- **Mailing address fax:** (570) 820-8899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 407063 | PA | Yes |

## Other

- **Enumeration date:** 05/26/2016
- **Last updated:** 05/26/2016