JASON GINEVAN

ROMNEY, WV
NPI1376917005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WV  99-118)
Enumeration Date2015-11-18
Last Update Date2015-11-18
Business Address
-- JASON GINEVAN ADC
55 N BOLTON ST SUITE 100
ROMNEY, WV 26757-1635
Phone number: 304-359-2245
Mailing Address
-- JASON GINEVAN ADC
55 N BOLTON ST SUITE 100
ROMNEY, WV 26757-1635
Phone number: 304-359-2245
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