| Doctor Name: | MR. KEVIN REGINALD TRELOAR |
| NPI Number: | 1023046091 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW LCSW DCSW |
| License Number: | 2003017029 |
| Business Practice Address: | 1046 Florida St Edwardsville, IL - 620251420 |
| Business Phone Number: | 6187414024 |
| Business Fax Number: | 6187414024 |
| Mailing Address: | 1046 Florida St, EDWARDSVILLE |
| State: | IL |
| Postal Code: | 620251420 |
| Phone Number: | 6187414024 |
| Fax Number: | 6186599173 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 08/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2003017029 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |