NPI 1114809514

Jason Cole Henline

Practitioner Peer Specialist Summersville, WV

Practice location

Address: 603 Broad St, Summersville, WV 26651-1307
Phone: (304) 602-3303
Mailing address: 6015 Webster Rd, Cowen, WV 26206-8635

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in West Virginia →

Registry record

NPI: 1114809514
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2025
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.