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Organization
WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC
Active
Organization
WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HARLEN M.A. (CEO)
(570) 820-8888
Entity
Organization
Contact information
Practice address
437 NORTH MAIN ST., WILKES BARRE, PA 18705
(570) 820-8888
(570) 820-8899
Mailing address
437 NORTH MAIN ST, WILKES BARRE, PA 18705
(570) 820-8888
(570) 820-8899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
401216
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
407024
PA
Other
Enumeration date
10/05/2006
Last updated
11/26/2014
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