Individual
JASON CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4421 EMERSON AVE STE 204, PARKERSBURG, WV 26104-1200
(304) 220-0041
(304) 220-0112
Mailing address
4421 EMERSON AVE STE 204, PARKERSBURG, WV 26104-1200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00945832
WV
1041C0700X
Clinical Social Worker
Primary
CP00945832
WV
Other
Enumeration date
05/27/2025
Last updated
06/23/2025
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