Doctor Name: | TRISTYN HAXTON |
NPI Number: | 1073916177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCP, CSAC, ICADC |
License Number: | CL1330 |
Business Practice Address: | 1803 N King St Honolulu, HI - 968193451 |
Business Phone Number: | 8088474227 |
Business Fax Number: | 8088420044 |
Mailing Address: | Po Box 17870, HONOLULU |
State: | HI |
Postal Code: | 968170870 |
Phone Number: | 8088474227 |
Fax Number: | 8088420044 |
NPI Enumeration Date: | 10/02/2014 |
NPI Last Update Date: | 10/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CL1330 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |