Individual provider · Type 1 NPI

Jackalynn Lee Wilson

Professional Counselor · Old Forge, PA

NPI number 1659923209 Active

Practice location

118 Amity Ave
Old Forge, PA 18518-1019

Call (570) 905-0669 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC011549 (PA)

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About NPI 1659923209

Jackalynn Lee Wilson's National Provider Identifier is 1659923209, issued on Jul 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Old Forge, PA. The record was last updated on Feb 17, 2026.