Individual
HALEY CONGISTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10038 MEADOW WAY UNIT D, TRUCKEE, CA 96161-4974
(530) 426-2110
Mailing address
1648 HESTER AVE, SAN JOSE, CA 95128-5220
(408) 499-4539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
04/22/2025
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