Individual
TRISTA JEAN SAMOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
339 S MAIN ST, SEBASTOPOL, CA 95472-4208
(720) 987-9426
Mailing address
339 S MAIN ST, SEBASTOPOL, CA 95472-4208
(720) 987-9426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
19693
CA
Other
Enumeration date
08/25/2010
Last updated
09/12/2025
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