Individual
MR. JASON ELLIOTT DEUSENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
Mailing address
PO BOX 8069, HUNTINGTON, WV 25705-0069
(304) 525-7851
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
06/09/2021
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