Individual provider · Type 1 NPI

Jason Ginevan, ADC

Addiction (Substance Use Disorder) Counselor · Romney, WV

NPI number 1376917005 Active

Practice location

55 N Bolton St, Suite 100
Romney, WV 26757-1635

Fax (304) 359-2259

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X99-118 (WV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376917005

Jason Ginevan, ADC's National Provider Identifier is 1376917005, issued on Nov 18, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Romney, WV. The record was last updated on Nov 18, 2015.