Provider Demographics
NPI:1609694223
Name:HOWARD, PATRICIA TRISTAN
Entity type:Individual
Prefix:
First Name:PATRICIA TRISTAN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:U
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 CENTRAL AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4256
Mailing Address - Country:US
Mailing Address - Phone:828-484-1289
Mailing Address - Fax:
Practice Address - Street 1:77 CENTRAL AVE STE D
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4256
Practice Address - Country:US
Practice Address - Phone:828-484-1289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health