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NPI Code Detail

MEDICARE: TRISTEN ACOSTA

MEDICARE: TRISTEN ACOSTA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1447105333
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISTEN ACOSTA
Provider Business Mailing Address
First Line : PO BOX 565
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-0565
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 884 W PARK AVE
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2273
Country : US
Telephone Number : 360-385-0321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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1386618254 — MRS. DONETTE BOYETT LCSW-A
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98368-2273
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Directions to “ TRISTEN ACOSTA ” Practice Location

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