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Trystan Robert Queen, CMS
Addiction (Substance Use Disorder) Counselor in Bainbridge, Ohio
NPI 1639665656

Trystan Robert Queen is an Addiction (Substance Use Disorder) Counselor based in Waverly, OH and is specialized in Addiction (Substance Use Disorder). Trystan Robert Queen practices in Bainbridge, OH and has the professional credentials of CMS. The NPI Number for Trystan Robert Queen is 1639665656 and holds a License No. (Ohio).

The current practice location address for Trystan Robert Queen is 1071 Tong Hollow Rd, Bainbridge, OH and can be reached out via phone at 740-634-3094.

Location: 1071 Tong Hollow Rd, Bainbridge, OH, 45690-8809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639665656
Provider Name
Trystan Robert Queen
Credential
CMS
Provider Entity Type
Individual
Gender
Male
Address
1071 Tong Hollow Rd, Bainbridge, OH, 45690-8809
Phone Number
740-634-3094
Fax Number
Provider Enumeration Date
07/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1071 Tong Hollow Rd
City
Bainbridge
State
Ohio
Zip
45612-1500
Phone Number
740-634-3094
Fax Number
person
Provider Business Mailing Address Details
Address
1071 Tong Hollow Rd
City
Bainbridge
State
Ohio
Zip
45612-1500
Phone Number
740-634-3094
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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