Individual
TRYSTANNEI COOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
259071
KY
106S00000X
Behavior Technician
RBT-20-146922
KY
Other
Enumeration date
12/08/2020
Last updated
09/03/2025
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