NPI 1053337592

Pamela Demosthenes Rustin, LCSWCPCACII

Practitioner Clinical Social Worker Apo, AE

Practice location

Address: Wiesbaden Army Substance Abuse Program Unit 29623, Apo, AE 09096
Phone: 496117051710
Mailing address: 4300 Sapphire CT STE 110, Greenville, NC 27834-9079

Registered specialties (3)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C006055 (NC)

Other Social Worker providers in Armed Forces Europe →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 06223 (SC)

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 64648 (SC)

Other Counselor providers in Armed Forces Europe →

Registry record

NPI: 1053337592
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2006
Record last updated: 25 Oct 2016

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.