PHILIP PAUL TRISTAN

FRESNO, CA
NPI1588216170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
101Y00000X Counselor
(Licence:   101Y00000X)
101Y00000X Counselor
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-07-12
Last Update Date2024-01-23
Business Address
PHILIP PAUL TRISTAN
4468 E KINGS CANYON RD
FRESNO, CA 93702-3605
Phone number: 559-600-9500
Mailing Address
PHILIP PAUL TRISTAN
2639 N SELLAND AVE
FRESNO, CA 93722-6714
Phone number: 559-373-9583