TIMOTHY W. BASHA

ALAMOGORDO, NM
NPI1851788798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0147651)
Enumeration Date2015-04-17
Last Update Date2021-09-09
Business Address
Mr. TIMOTHY W. BASHA LADAC
1613 JUNIPER DR.
ALAMOGORDO, NM 88310
Phone number: 575-495-8098
Mailing Address
Mr. TIMOTHY W. BASHA LADAC
PO BOX 1088
ALAMOGORDO, NM 88311-1088
Phone number: 575-495-8098
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