Healthcare Provider Details

I. General information

NPI: 1841908886
Provider Name (Legal Business Name): TRI COUNTY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19510 HESS AVE # 19510
SONORA CA
95370-9720
US

IV. Provider business mailing address

PO BOX 5460
SONORA CA
95370-2460
US

V. Phone/Fax

Practice location:
  • Phone: 209-743-9008
  • Fax:
Mailing address:
  • Phone: 209-743-9008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AIMEE LORAIN AITKEN
Title or Position: PRESIDENT/DIRECTOR
Credential: MFT
Phone: 209-743-9008