Individual
MR. DUSTIN GENE HOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
5300 WINNESTE AVE # 45232, CINCINNATI, OH 45232-1133
(513) 901-0429
Mailing address
PO BOX 314, KINGS MILLS, OH 45034-0314
(513) 594-9554
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1903469
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.1903469
COUNSELOR, SOCIAL WORKER & MFT BOARD
OH
Enumeration date
10/27/2021
Last updated
10/27/2021
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