Individual
DUSTIN WILLIAM MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
57 TOWNSHIP HIGHWAY 1275, CHESAPEAKE, OH 45619
(740) 451-0307
Mailing address
121 MEADOW LN APT D, SOUTH POINT, OH 45680-8628
(740) 764-6644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
187018
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/12/2024
Last updated
08/08/2024
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