MASON EASTHAM, LCDCII

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1003329087

Practice Address

700 PARK AVE
Ironton, OH 45638

Phone: (740) 532-1613

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No CDCA.169543 (OH)
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes LCDCII.161825 (OH)

Frequently Asked Questions

NPI 1003329087 is the National Provider Identifier for MASON EASTHAM, LCDCII, a Counselor - Addiction (Substance Use Disorder) provider located in Ironton, OH. This NPI was enumerated on November 13, 2017.
MASON EASTHAM, LCDCII practices at 700 PARK AVE, Ironton, OH 45638.

Quick Facts

NPI
1003329087
Type
Individual
Enumerated
Nov 13, 2017
Last Updated
Nov 9, 2022

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