MASON EASTHAM

IRONTON, OH
NPI1003329087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCII.161825)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: OH  CDCA.169543)
Enumeration Date2017-11-13
Last Update Date2022-11-09
Business Address
MASON EASTHAM LCDCII
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
Mailing Address
MASON EASTHAM LCDCII
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613