Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Pamela Belle Dustman, PCC-SLICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447542766

MS. Pamela Belle Dustman, PCC-SLICDC is a Mental Health Counselor in Madison, Ohio. Qualified in 1996, 30 years ago. Licensed in Ohio.

Years since qualifying
30
Licensed in
OH
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

65 N Lake St
Madison, OH 44057-3113
Phone: (440) 428-0055
Fax: (440) 428-0084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E2125 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 981326 (OH)

Record details

NPI number1447542766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCC-SLICDC
Sole proprietorNo
NPI enumeratedMay 4, 2011
Last updated in NPPESMay 4, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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