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Individual
DUSTIN B PHILLIPS
Active
Individual
DUSTIN B PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LCADC, CAIMHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
290480
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
290480
KY
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100917530
—
KY
Enumeration date
05/31/2022
Last updated
05/14/2026
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