Individual
MS. ANDREA MARISSA TRISTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 616-0300
Mailing address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 616-0300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
72154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389786002
—
TX
Enumeration date
10/24/2018
Last updated
09/16/2020
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