Trista Jean Samole, M.S.
Counselor, Professional in Sebastopol, CA. Individual provider (NPI-1).
NPI number1194031328
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1194031328
- Entity type
- Individual (NPI-1)
- Name
- Trista Jean Samole
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2010
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 19693 | CA | Yes |
| 101Y00000X | Counselor | – | – | |
| 101Y00000X | Counselor | – | CA |
Practice location
339 S Main StSebastopol, CA 95472-4208
Phone 720-987-9426
Mailing address
339 S Main StSebastopol, CA 95472-4208
Phone 720-987-9426
Other practice locations
8931 Huron St
Thornton, CO 80260-6806
Thornton, CO 80260-6806
Phone 303-853-3654 · Fax 303-853-3656
1360 N Dutton Ave Ste C
Santa Rosa, CA 95401-4668
Santa Rosa, CA 95401-4668
Phone 707-569-0877
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