MEDICARE: JAMES ROBERT NEWESHAM BA,CPRM,CPRC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1689554156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ROBERT NEWESHAM BA,CPRM,CPRC

Provider Business Mailing Address
First Line	:	1729 W YOUNGS DITCH RD APT 3
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-9217
Country	:	US
Telephone Number	:	616-666-9854
Fax Number	:

Provider Business Practice Location Address
First Line	:	1729 W YOUNGS DITCH RD APT 3
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-9217
Country	:	US
Telephone Number	:	989-752-7867
Fax Number	:	989-752-6830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	10/24/2025

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