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NPI Code Detail

MEDICARE: TRISTIN BUCHANAN

MEDICARE:   TRISTIN  BUCHANAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1437096773
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISTIN BUCHANAN
Provider Business Mailing Address
First Line : 332 ARROWHEAD DR
Second Line :
City : FLORENCE
State : CO
Zip : 81226-9505
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 S 9TH ST
Second Line :
City : CANON CITY
State : CO
Zip : 81212-3800
Country : US
Telephone Number : 719-240-4726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ TRISTIN BUCHANAN ” Practice Location

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