Andrew Benjamin Basham, NLC

NPI #1992276026 in Pueblo, Colorado

Provider Information

NPI Number: 1992276026
Entity Type: Individual
Name: Andrew Benjamin Basham, NLC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: NLC
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 1003 RUPPLE ST PUEBLO CO 81001
Address 2: 606
City: Pueblo
State: Colorado
ZIP Code: 81001
Phone: (719) 371-6196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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