Individual
DUSTIN KEITH KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC II
Contact information
Practice address
1680 NAVE RD SE, MASSILLON, OH 44646-9604
(330) 830-8740
(330) 830-0912
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161985
OH
Other
Enumeration date
12/15/2021
Last updated
02/26/2024
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