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NPI Code Detail

MEDICARE: NANCY L.C. DUSTHIMER LPCC

MEDICARE: NANCY L.C. DUSTHIMER LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.0015746OH
2101YP2500XProfessional CounselorE.2202962OH

General Provider Information

NPI Number : 1487101820
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY L.C. DUSTHIMER LPCC
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Provider Business Practice Location Address
First Line : 5815 WESTBOURNE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1459
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 01/29/2024

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