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Antoinette Tristan, LMHC
Counselor in Ithaca, New York
NPI 1205204401

Antoinette Tristan is a Counselor based in Ithaca, NY. Antoinette Tristan practices in Ithaca, NY and has the professional credentials of LMHC. The NPI Number for Antoinette Tristan is 1205204401 and holds a License No. (New York).

The current practice location address for Antoinette Tristan is 127 W State St, Ithaca, NY and can be reached out via phone at 607-273-7494.

Location: 127 W State St, Ithaca, NY, 14850-5474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205204401
Provider Name
Antoinette Tristan
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
127 W State St, Ithaca, NY, 14850-5474
Phone Number
607-273-7494
Fax Number
Provider Enumeration Date
09/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336163963 05 NY
institution
Provider Business Practice Location Address Details
Address
127 W State St
City
Ithaca
State
New York
Zip
14850-5474
Phone Number
607-273-7494
Fax Number
person
Provider Business Mailing Address Details
Address
127 W State St
City
Ithaca
State
New York
Zip
14850-5474
Phone Number
607-273-7494
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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