Withrow, Tristica

Withrow, Tristica is an individual health care provider with primary practice located at 6570 Sosna Dr , Fairfield OH 45014-2222. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Withrow, Tristica can be contacted via phone (513) 942-4673.

Contact Information

Primary practice address
6570 Sosna Dr Fairfield OH 45014-2222
Phone: (513) 942-4673
Fax: (513) 860-1439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X QMHS
Behavioral Health & Social Service Providers / Counselor 101Y00000X CDCA.184467 Ohio

Profile Details

NPI number 1063087104
LBN Legal business name Withrow, Tristica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated Oct 30th, 2023 - about 3 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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