Individual provider · Type 1 NPI
Trevyn Landes, BA
Addiction (Substance Use Disorder) Counselor · Alton, IL
NPI number
1730820499
Active
Practice location
3416 Thomas Ave
Alton, IL 62002-4117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730820499
Trevyn Landes, BA's National Provider Identifier is 1730820499, issued on Apr 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Alton, IL. The record was last updated on Apr 6, 2022.