Individual provider · Type 1 NPI

Jason B. Wickline

Peer Specialist · St. Albans, WV

NPI number 1114639937 Active

Practice location

403 Sun Valley Dr
St. Albans, WV 25177-3523

Call (304) 552-9384 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X22-9273 (WV)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1114639937

Jason B. Wickline's National Provider Identifier is 1114639937, issued on Dec 23, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Albans, WV. The record was last updated on Jan 16, 2023.