Individual
TRISTIN FEDERICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 JOSHUA LN, PALMYRA, VA 22963-6208
(434) 207-2554
Mailing address
23 FAIRWOOD PL, PALMYRA, VA 22963-2765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014778
—
Other
Enumeration date
02/07/2022
Last updated
04/15/2025
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