Individual
TRISTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
792 N MAIN ST, SYRACUSE, NY 13212-1644
(315) 299-6975
Mailing address
5463 ORANGEPORT RD UNIT 204, BREWERTON, NY 13029-1801
(608) 449-2711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
102274-01
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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