NPI 1043992969
Dustin Pavolini
Practice location
- Address
- 4905 Telephone Rd, Pascagoula, MS 39567-1823
- Phone
- (228) 769-1280
- Mailing address
- 3407 Shamrock CT, Gautier, MS 39553-5337
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1043992969
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Aug 2023
- Record last updated
- 1 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.