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DUSTIN KUBACKA CDCA
NPI 1306347885
Substance Abuse Rehabilitation Facility in Warren, OH

Active since February 21, 2018
2737 YOUNGSTOWN RD SE, WARREN, OH 44484(330) 369-8022 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2019, Feb 21, 2018 (2 updates tracked since 2018).

About Dustin Kubacka Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN KUBACKA CDCA (NPI 1306347885) is an individual substance abuse rehabilitation facility provider in Warren, Ohio, licensed in Ohio (168900) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1306347885
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameDUSTIN KUBACKACredential: CDCA
Location Address2737 YOUNGSTOWN RD SEWarren, OH 44484-5002
Mailing Address2737 Youngstown Rd SeWarren, OH 44484-5002 · (330) 369-8022
Phone(330) 369-8022
Sole ProprietorYes
Enumeration DateFebruary 21, 2018
Last NPPES UpdateJune 17, 20192 updates tracked since enumeration
✔ NPI 1306347885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Licenses✔ Licensed in OH · 168900✔ Licensed in OH · 165529
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2737 YOUNGSTOWN RD SE, Warren, OH 44484
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS AMANDA LEANN CAMERON RN
Registered Nurse
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
TAMIKA CALLINS CDCA
Substance Abuse Rehabilitation Facility
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
DIANE SMOLAK CDCA
Substance Abuse Rehabilitation Facility
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
TRACY ROBINSON CDCA
Substance Abuse Rehabilitation Facility
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
ROBERT WISSINGER LSW
Social Worker
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
GEORGE KINNARD JR
Counselor (Addiction (Substance Use Disorder))
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
KRISTA YOUNG CDCA
Counselor (Addiction (Substance Use Disorder))
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022
KATHERINE STAFFORD
Social Worker
2737 YOUNGSTOWN RD SE
WARREN, OH 44484
Trumbull County (330) 369-8022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Kubacka's NPI number?

The NPI number for Dustin Kubacka is 1306347885. It was assigned to this individual provider in the NPPES registry on February 21, 2018.

Where is Dustin Kubacka located?

Dustin Kubacka practices at 2737 Youngstown Rd SE, Warren, OH 44484. The listed phone number is (330) 369-8022.

What is Dustin Kubacka's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Dustin Kubacka was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.