Killian, Tristan Wayne
Killian, Tristan Wayne is an sole proprietor health care provider with primary practice located at 3114 E Burma Rd , Nebo NC 28761-8718. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Killian, Tristan Wayne can be contacted via phone (828) 201-6901.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-25220 | North Carolina |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C015255 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C015255 | North Carolina |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | C015255 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C015255 | North Carolina |
Profile Details
| NPI number | 1508411026 |
|---|---|
| LBN Legal business name | Killian, Tristan Wayne |
| Credentials | LCSW, LCAS, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2019 |
| Last updated | Jun 21st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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