Individual
JASON ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 5TH AVE STE 194, CHARLESTON, WV 25387-1900
(304) 408-3253
Mailing address
332 12TH ST APT 301, HUNTINGTON, WV 25701-1569
(304) 544-5971
(304) 756-8230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
26-921SUD
WV
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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