Most Relevant Information
Provider Data
| NPI Number: | 1003348483 |
| Provider Name: | TRISTAN A FOX BACHELORS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2017 |
| Last Updated: | 04/03/2017 |
Provider Practice Location
560 BELLE TERRE BLVD
LAPLACE
LA
70068
Practice Location Phone/Fax
| Phone: | 9856520078 |
| Fax: |
Provider Mailing Location
69239 HILLY RD.
KENTWOOD
LA
70444
Provider Mailing Phone/Fax
| Phone: | 9854155135 |
| Fax: |