Anthony, Dustin

Anthony, Dustin is an individual health care provider with primary practice located at 9620 Careys Run Pond Creek Road , Mcdermott OH 45652. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Anthony, Dustin can be contacted via phone (740) 858-6683.

Contact Information

Primary practice address
9620 Careys Run Pond Creek Road Mcdermott OH 45652
Phone: (740) 858-6683
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.183804 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio
Other Service Providers / Peer Specialist 175T00000X APS.006713 Ohio

Profile Details

NPI number 1447987128
LBN Legal business name Anthony, Dustin
Credentials CDCA PRS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2022
Last updated Aug 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447987128 NPPES
Ohio MEDICAID 0001572

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