Individual provider · Type 1 NPI
Dustin Kyle Bach, CDCA
Addiction (Substance Use Disorder) Counselor · Gallipolis, OH
NPI number
1083100333
Active
Practice location
530 2nd Ave
Gallipolis, OH 45631
Fax (740) 446-2292
Mailing address
214 S 4th St
Ironton, OH 45638-1610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 167975 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
Other addiction (substance use disorder) counselor providers in Gallipolis
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About NPI 1083100333
Dustin Kyle Bach, CDCA's National Provider Identifier is 1083100333, issued on Jul 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gallipolis, OH. The record was last updated on Aug 28, 2018.