Individual
MR. JASON WILLIAM PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CIS
Contact information
Practice address
2157 GREENBRIER ST, CHARLESTON, WV 25311-9623
(304) 344-5924
(304) 344-3503
Mailing address
218 3RD AVE, SOUTH CHARLESTON, WV 25303-1543
(304) 344-5924
(304) 344-3503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
08/08/2008
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