MS. Pamela Belle Dustman, PCC-S LICDC

NPI #1447542766 in Madison, Ohio

Provider Information

NPI Number: 1447542766
Entity Type: Individual
Name: MS. Pamela Belle Dustman, PCC-S LICDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: PCC-S LICDC
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 65 N LAKE ST
City: Madison
State: Ohio
ZIP Code: 44057-3113
Phone: (440) 428-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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