Individual
MR. TREVOR EASLEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6639
Mailing address
3692 ROXMORE CT, COLUMBUS, OH 43232-3613
(614) 638-6536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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