Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackalynn Lee Wilson

Individual provider Professional Counselor · NPI 1659923209

Jackalynn Lee Wilson is a Professional Counselor in Old Forge, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
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Practice location Address checks out

118 Amity Ave
Old Forge, PA 18518-1019
Phone: (570) 905-0669
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Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC011549 (PA)

Record details

NPI number1659923209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2019
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address118 Amity Ave, Old Forge, PA 18518-1019

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