Individual
MR. JONATHON DAVID WASP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1332 MAIN ST, DICKSON CITY, PA 18519-1317
(570) 397-0285
(570) 649-1261
Mailing address
1332 MAIN ST, DICKSON CITY, PA 18519-1317
(570) 397-0285
(570) 649-1261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
01/28/2026
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