Individual
JEREMY A WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, MA, LBS
Contact information
Practice address
62 PLAZA LN, WELLSBORO, PA 16901-1766
(570) 724-7142
(570) 724-6771
Mailing address
62 PLAZA LN, WELLSBORO, PA 16901-1766
(570) 724-7142
(570) 724-6771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BH006787
PA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/13/2010
Last updated
11/09/2023
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