JAMES KYLE BASHAM

DAYTON, OH
NPI1912733650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  189825)
Enumeration Date2024-09-10
Last Update Date2024-09-10
Business Address
JAMES KYLE BASHAM CDCA
4130 LINDEN AVE STE 185
DAYTON, OH 45432-3040
Phone number: 937-380-2418
Mailing Address
JAMES KYLE BASHAM CDCA
3804 FULTON AVE
MORAINE, OH 45439-2002
Phone number:
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