Individual
TYESHA BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 WINCHESTER AVE, ASHLAND, KY 41101-2065
(606) 393-4632
Mailing address
3655 WINCHESTER AVE, ASHLAND, KY 41101-2065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
KY
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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