Provider Demographics
NPI:1689554156
Name:NEWESHAM, JAMES ROBERT (BA,CPRM,CPRC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROBERT
Last Name:NEWESHAM
Suffix:
Gender:M
Credentials:BA,CPRM,CPRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 W YOUNGS DITCH RD APT 3
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-9217
Mailing Address - Country:US
Mailing Address - Phone:616-666-9854
Mailing Address - Fax:
Practice Address - Street 1:1729 W YOUNGS DITCH RD APT 3
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-9217
Practice Address - Country:US
Practice Address - Phone:989-752-7867
Practice Address - Fax:989-752-6830
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty