Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trystan Robert Queen, CMS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639665656

Trystan Robert Queen, CMS is an Addiction (Substance Use Disorder) Counselor in Bainbridge, Ohio. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1071 Tong Hollow Rd
Bainbridge, OH 45612-1500
Phone: (740) 634-3094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1639665656
Entity typeIndividual (Type 1)
GenderMale
Credentials CMS
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address178 Mill Run Rd Lot 107, Waverly, OH 45690-8809

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