| NPI | 1376280362 |
|---|---|
| Doing Business As | INTEGRATIVE COUNSELING AND WELLNESS, LLC |
| Doing Business As | PAMELA WOLLET, LCSW |
| Entity Type | Organization |
| Authorized Contact | PAMELA WOLLET WOLLET Licensed Clinical Social Worker 570-220-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2023-07-13 |