Individual
DUSTIN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA PRS
Contact information
Practice address
9620 CAREYS RUN POND CREEK ROAD, MCDERMOTT, OH 45652
(740) 858-6683
Mailing address
1626 HIGH ST, PORTSMOUTH, OH 45662-3735
(740) 285-7617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183804
OH
101YM0800X
Mental Health Counselor
—
OH
175T00000X
Peer Specialist
APS.006713
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001572
—
OH
Enumeration date
08/03/2022
Last updated
08/11/2025
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