Individual provider · Type 1 NPI
Jennifer Denofa, MSW
Methadone Clinic · Wilkes-Barre, PA
NPI number
1366648792
Active
Practice location
Rear 307 Laird St.
Wilkes-Barre, PA 18702
Fax (570) 408-9324
Mailing address
51 Holiday Dr., Apt. 109
Kingston, PA 18704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Another provider at this address
About NPI 1366648792
Jennifer Denofa, MSW's National Provider Identifier is 1366648792, issued on Jun 22, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Wilkes-Barre, PA. The record was last updated on Jul 21, 2022.