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Individual

DR. JASON E NEWSOME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2390 KANAWHA STATE FOREST DR, CHARLESTON, WV 25314-9080
(304) 415-2410
(855) 314-6877
Mailing address
PO BOX 8880, SOUTH CHARLESTON, WV 25303
(304) 415-2410
(855) 314-6877

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1937
WV

Other

Enumeration date
02/11/2009
Last updated
11/01/2014
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