Jason B Wickline
NPI #1114639937 in Saint Albans, West Virginia
Provider Information
- NPI Number
- 1114639937
- Entity Type
- Individual
- Name
- Jason B Wickline
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Dec 23, 2022
- Last Updated
- Jan 16, 2023
Practice Location
- Address
- 403 SUN VALLEY DR
- City
- Saint Albans
- State
- West Virginia
- ZIP Code
- 25177-3523
- Phone
- (304) 552-9384
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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