Jason Hessler, CAC-AD, LCPC, LPC

Individual provider Active NPI Professional Counselor · Kearneysville, WV

NPI 1164969309 · NPPES record last updated Jan 26, 2017

Key facts

NPI
1164969309
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2247 (WV)
Practice address
150 E Burr Blvd
Kearneysville, WV 25430-4793
Phone
(240) 626-4199
NPI assigned
Jan 26, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC6867MDMDProfessional Counselor
2247WVMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2247 WV Yes
Professional Counselor 101YP2500X LC6867 MD

Addresses

Primary practice location

150 E Burr Blvd
Kearneysville, WV 25430-4793

Mailing address

150 E Burr Blvd
Kearneysville, WV 25430-4793
Phone (240) 626-4199

Other providers in Kearneysville, WV

All providers in Kearneysville, WV · Professional Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.