Individual
JASON JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 MACCORKLE AVE SE STE 700, CHARLESTON, WV 25304-1230
(304) 351-1500
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ED1254
WV
Other
Enumeration date
03/25/2019
Last updated
02/27/2026
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