Tristan Elizabeth Thibault MFT-INTERN

NPI 1225365083 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1225365083
Gender Female
Enumeration Date 11/15/2009
Last Updated 11/15/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6039 ELDORA AVE
SUITE G
LAS VEGAS NV, 89146-5611, US
Phone (702) 685-3300
Fax
Business Location
8985 S DURANGO DR
UNIT 1044
LAS VEGAS NV, 89113-6117, US
Phone (702) 813-6226
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Nevada
License Number M10091
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According to our database, Mrs. Tristan Elizabeth Thibault MFT-INTERN NPI is 1225365083, taxonomy code is 106H00000X and license number is M10091, license state is located at Nevada. Tristan Elizabeth Thibault MFT-INTERN physically located at 6039 Eldora Ave, Las Vegas NV, 89146-5611. NPI Number Tristan Elizabeth Thibault MFT-INTERN has the Individual type.

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1225365083 NPI number is provided on an as is basis without warranty of any kind. 1225365083 is maintained by the National Plan & Provider Enumeration System. The contents of Tristan Elizabeth Thibault MFT-INTERN are for informational purposes only.