Individual
DUSTIN C MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2458 STETZER RD, BUCYRUS, OH 44820-2066
(419) 562-2000
(419) 562-1296
Mailing address
2458 STETZER RD, BUCYRUS, OH 44820-2066
(419) 562-2000
(419) 562-1296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.179824
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/24/2017
Last updated
10/31/2022
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