Individual provider · Type 1 NPI

James Kyle Basham, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1912733650 Active

Practice location

4130 Linden Ave Ste 185
Dayton, OH 45432-3040

Mailing address

3804 Fulton Ave
Moraine, OH 45439-2002

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X189825 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912733650

James Kyle Basham, CDCA's National Provider Identifier is 1912733650, issued on Sep 10, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Sep 10, 2024.