Individual provider · Type 1 NPI

Dusty Mogan

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1205786647 Active

Practice location

218 E North St
Waverly, OH 45690-1148

Call (740) 947-6727 Map

Mailing address

16139 Cleveland Ave # 42
Laurelville, OH 43135-7529

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205786647

Dusty Mogan's National Provider Identifier is 1205786647, issued on Feb 3, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Feb 3, 2026.