Individual
DUSTIN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
865 S PATTERSON BLVD, DAYTON, OH 45402-2624
(937) 966-4673
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.189124
OH
106S00000X
Behavior Technician
189124
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005054
—
OH
Enumeration date
11/03/2022
Last updated
10/14/2024
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