| Dustin Anthony, CDCA | |
|
7175 State Route 104, Mc Dermott, OH 45652-8899 | |
| (740) 858-6683 | |
| Not Available |
| Full Name | Dustin Anthony |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7175 State Route 104, Mc Dermott, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447987128 | NPI | - | NPPES |
| 0001572 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.179889 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Anthony, CDCA 1626 High St, Portsmouth, OH 45662-3735 Ph: (740) 285-7617 | Dustin Anthony, CDCA 7175 State Route 104, Mc Dermott, OH 45652-8899 Ph: (740) 858-6683 |
Jarodd Lawson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7175 State Route 104, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Mr. Todd Davis, LCDC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 7175 State Route 104, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Timothy Mccreary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Kyam Matthews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Michele Lawson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7175 State Route 104, Mc Dermott, OH 45652 Phone: 740-858-6683 | |
Keith Allen Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652 Phone: 740-858-6683 |