Katherine Clair Tristan Lcsw Pc

LBN: Katherine Clair Tristan Lcsw Pc
Katherine Clair Tristan Lcsw Pc is an health care organization with primary practice located at 255 N D St Ste 220 , San Bernardino CA 92401-1713. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Katherine Clair Tristan Lcsw Pc can be contacted via phone (951) 823-3498, or through Tristan, Katherine via phone (951) 823-3498.

Contact Information

Primary practice address
255 N D St Ste 220 San Bernardino CA 92401-1713
Fax:
Website:
Authorized official contact:
Name: Tristan, Katherine Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1326518168
LBN Legal business name Katherine Clair Tristan Lcsw Pc
DBA Doing business as
Authorized official Tristan, Katherine Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2018
Last updated Dec 4th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326518168 NPPES
California Other 1336575380 IEHP

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