Individual
DR. TRISTEN DIANE WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 648-2266
(855) 348-3430
Mailing address
405 S CLAIRBORNE RD STE 2, OLATHE, KS 66062-1774
(913) 648-2266
(913) 768-1944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAC702
KS
103TC0700X
Clinical Psychologist
Primary
2021027885
MO
103TC0700X
Clinical Psychologist
2487
KS
103TC0700X
Clinical Psychologist
28438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201218600A
—
KS
Enumeration date
07/15/2016
Last updated
09/02/2021
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