Mr. Jacob S Queen, PRSS
Mr. Jacob S Queen, PRSS is a Peer Specialist in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2024.
- Licensed in
- WV
- In the registry since
- 2024
Practice location Address checks out
2157 Greenbrier StCharleston, WV 25311-9623
Phone: (304) 553-0051
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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 24-9103 (WV) |
|---|
Record details
| NPI number | 1689406563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PRSS |
| Sole proprietor | No |
| NPI enumerated | August 19, 2024 |
| Last updated in NPPES | August 19, 2024 |
| Certification date | August 19, 2024 |
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