Individual provider · Type 1 NPI

Amy Basham, LPC, LICDC

Mental Health Counselor · Columbus, OH

NPI number 1336679620 Active

Practice location

1430 S High St
Columbus, OH 43207-1045

Call (614) 445-8131 Map

Mailing address

485 Chase Rd
Columbus, OH 43214-1333

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.1700350 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1336679620

Amy Basham, LPC, LICDC's National Provider Identifier is 1336679620, issued on Jun 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, OH. The record was last updated on May 11, 2020.