Individual
TRISTA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18805 374TH AVE, TULARE, SD 57476-7522
(605) 460-1390
Mailing address
18805 374TH AVE, TULARE, SD 57476-7522
(605) 460-1390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
30968
SD
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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