Individual
MS. TREVYN LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3416 THOMAS AVE, ALTON, IL 62002-4117
(618) 550-2037
Mailing address
3416 THOMAS AVE, ALTON, IL 62002-4117
(618) 550-2037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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