Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRYSTAN ROBERT QUEEN, CMS
ActiveTRYSTAN ROBERT QUEEN, CMS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BAINBRIDGE, Ohio. NPI 1639665656 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BAINBRIDGE, OH
Registration Details
- NPI Number
- 1639665656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2018 (7.937869659145 yrs)
- Last Updated
- Mar 2, 2023
Practice Information
- Address
-
1071 TONG HOLLOW RDBAINBRIDGE, OH, 456121500Browse OH providers · Browse ZIP 45612
- Phone
- 7406343094
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BAINBRIDGE, OH
| Name | Credential | NPI |
|---|---|---|
| BETSY ANN GEE | CDCA | 1518460005 |
| BRET WALKER | LCDC III | 1689164808 |
| MR. DERRIK RICHARD HAITHCOCK SR. | LCDC LLL | 1922598143 |
| STEPHANIE LYNN CANTERBURY | CADC | 1114417334 |
| MRS. LINETTE RAE ANN FOUT | LCDC III | 1932699154 |
| KELSEY JOHNSON | CDCA,QMHS | 1689169419 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.