JEB BASHAM

PORTSMOUTH, OH
NPI1740967744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies261QM0801X 
Enumeration Date2023-06-30
Last Update Date2023-06-30
Business Address
JEB BASHAM
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
Mailing Address
JEB BASHAM
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
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