Individual
AMANDA BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS ED.
Contact information
Practice address
1235 6TH AVE, HUNTINGTON, WV 25701-2311
(681) 432-0600
Mailing address
PO BOX 2, HUNTINGTON, WV 25706-0002
(681) 432-0600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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