KENNETH VINCENT BASCOM

HONESDALE, PA
NPI1861048159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: PA  647010)
Enumeration Date2019-08-13
Last Update Date2019-08-13
Business Address
Mr. KENNETH VINCENT BASCOM MA
1855 FAIR AVE
HONESDALE, PA 18431-2121
Phone number: 570-253-3980
Mailing Address
Mr. KENNETH VINCENT BASCOM MA
151 WARNER RD
NORTH BRANCH, NY 12766-5045
Phone number: 845-482-5080
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