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

Jason Edward Canterbury, PRSS

Individual provider Peer Specialist · NPI 1104692409

Jason Edward Canterbury, PRSS is a Peer Specialist in Saint Albans, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023
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Practice location Address checks out

2333 Maccorkle Ave Ste 201
Saint Albans, WV 25177-2074
Phone: (304) 766-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 23-9219 (WV)

Record details

NPI number1104692409
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESNovember 28, 2023
Certification dateNovember 10, 2023

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