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Jason Edward Canterbury, PRSS
Peer Specialist in Saint Albans, West Virginia
NPI 1104692409

Jason Edward Canterbury is a Peer Specialist based in Saint Albans, WV. Jason Edward Canterbury practices in Saint Albans, WV and has the professional credentials of PRSS. The NPI Number for Jason Edward Canterbury is 1104692409 and holds a License No. 23-9219 (West Virginia).

The current practice location address for Jason Edward Canterbury is 2333 Maccorkle Ave Ste 201, Saint Albans, WV and can be reached out via phone at 304-766-0060.

Location: 2333 Maccorkle Ave Ste 201, Saint Albans, WV, 25177-2074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104692409
Provider Name
Jason Edward Canterbury
Credential
PRSS
Provider Entity Type
Individual
Gender
Male
Address
2333 Maccorkle Ave Ste 201, Saint Albans, WV, 25177-2074
Phone Number
304-766-0060
Fax Number
Provider Enumeration Date
11/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2333 Maccorkle Ave Ste 201
City
Saint Albans
State
West Virginia
Zip
25177-2074
Phone Number
304-766-0060
Fax Number
person
Provider Business Mailing Address Details
Address
2333 Maccorkle Ave Ste 201
City
Saint Albans
State
West Virginia
Zip
25177-2074
Phone Number
304-766-0060
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
23-9219 (West Virginia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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