Trystan Robert Queen, CMS
NPI #1639665656 in Bainbridge, Ohio
Provider Information
- NPI Number
- 1639665656
- Entity Type
- Individual
- Name
- Trystan Robert Queen, CMS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CMS
- Enumeration Date
- Jul 2, 2018
- Last Updated
- Mar 2, 2023
Practice Location
- Address
- 1071 TONG HOLLOW RD
- City
- Bainbridge
- State
- Ohio
- ZIP Code
- 45612-1500
- Phone
- (740) 634-3094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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