Search › Ohio › 101YM0800X
Pamela Dustman, PCC-S LICDC
NPI 1447542766 · on the registry since 2011
Practice
- Address
- 65 N Lake St
Madison, OH 44057 - Phone
- (440) 428-0055
- Fax
- (440) 428-0084
- Organisation at this address
- Innovative Mental Health Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio