Individual
JAMIE GERVICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FOXCROFT AVE STE 104, MARTINSBURG, WV 25401-5302
(304) 513-3495
(800) 734-8498
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 513-3495
(800) 734-8498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1103
WV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/18/2020
Last updated
04/09/2026
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