DUSTIN KYLE BACH CDCA NPI 1083100333

NPI Information

NPI: 1083100333
Provider Name: DUSTIN KYLE BACH, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
530 2ND AVE
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 446-2085
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Dustin Kyle Bach, CDCA is an addiction (substance use disorder) counselor in Gallipolis, OH. Dustin Kyle Bach, CDCA NPI is 1083100333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

530 2ND AVE
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 446-2085
Fax: (740) 446-2292

The enumeration date for this NPI number is 7/10/2018 and was last updated on 8/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	167975	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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