Individual
AMIE JENNIFER DUNSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 NORTHLAND DR STE 200A, MEDINA, OH 44256-3440
(330) 725-9195
Mailing address
6333 MURRAY RIDGE RD, ELYRIA, OH 44035-1027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170864
OH
1041C0700X
Clinical Social Worker
Primary
I.2203353
OH
1041C0700X
Clinical Social Worker
S.1903646
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312261
—
OH
Enumeration date
09/05/2018
Last updated
09/01/2022
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