Individual
CANDIDA CONSUELO TRISTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
8231 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
(219) 767-2275
Mailing address
122 POTRANCO ROAD, 486, SAN ANTONIO, TX 78251
(210) 970-2126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
96528
TX
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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