| NPI | 1851663389 |
|---|---|
| Professional Name | BRYAN ROBERT EASLICK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 15-CRM-049) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2017-06-26 |