Bethany Ann Dutro, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Amherst, OH
NPI 1346973906 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1346973906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.181150 (OH)
- Practice address
- 530 N Leavitt Rd
Amherst, OH 44001-1131 - Phone
- (440) 328-4213
- Fax
- (440) 328-4214
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.181150 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.181150 | OH | Yes |
Addresses
Primary practice location
530 N Leavitt Rd
Amherst, OH 44001-1131
Mailing address
2115 W Park Dr
Lorain, OH 44053-1138
Other providers in Amherst, OH
- Dr Mitchell Goozdich Inc
- Dr. Patrick J. Elbert Inc
- Lauren T Drake
- Cathy Duncan
- Sarah Durham
- Dynamic Movement Chiropractic LLC
- Denise Ann Eacott
- Echoing Hills Village, Inc.
- Patrick J Elbert
- Elite Dental Art Thabet DDS LLC
All providers in Amherst, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.