Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason B Wickline

Individual provider Peer Specialist · NPI 1114639937

Jason B Wickline is a Peer Specialist in Saint Albans, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.

Licensed in
WV
In the registry since
2022

Practice location Address checks out

403 Sun Valley Dr
Saint Albans, WV 25177-3523
Phone: (304) 552-9384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 22-9273 (WV)

Record details

NPI number1114639937
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2022
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 16, 2023
Mailing address403 Sun Valley Dr, Saint Albans, WV 25177-3523

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