Green, Dusten

Green, Dusten is an individual health care provider with primary practice located at 11050 Mt Belvedere Blvd , Fort Drum NY 13602-2603. 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 / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Green, Dusten can be contacted via phone (315) 772-2778.

Contact Information

Primary practice address
11050 Mt Belvedere Blvd Fort Drum NY 13602-2603
Phone: (315) 772-2778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 32482 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 090580 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 090580 New York

Profile Details

NPI number 1053857318
LBN Legal business name Green, Dusten
Credentials DSW,LCSW, CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2017
Last updated Aug 29th, 2023 - about 3 years ago

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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