Individual
JASON COLE HENLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 BROAD ST, SUMMERSVILLE, WV 26651-1307
(304) 602-3303
Mailing address
6015 WEBSTER RD, COWEN, WV 26206-8635
(304) 678-4817
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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