Search › Ohio › 164W00000X

Jacqueline Carbasho

NPI 1851003016 · on the registry since 2022 · sole proprietor

Practice

Address
68353 Bannock Rd
Saint Clairsville, OH 43950
Phone
(740) 695-9344
Fax
(740) 695-7787
Organisation at this address
Southeast Inc
Southeast, Inc
Southeast, Inc.
Community Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
70

Additional practice sites

  • 37990 Airport Rd, Woodsfield, OH
  • 243 S Main St, Cadiz, OH

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio