Organization
JMW COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY MARIE WILDRICK PH.D. LPC CRC CPRP (PROFESSIONAL COUNSELOR)
(570) 851-7408
Entity
Organization
Contact information
Practice address
629 E DRINKER ST, DUNMORE, PA 18512-2549
(570) 851-7408
Mailing address
629 E DRINKER ST, DUNMORE, PA 18512-2549
(570) 851-7408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679144422
NPI
PA
Enumeration date
06/27/2023
Last updated
07/03/2023
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