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Tristan Lay

Counselor in Fairfield, CA. Individual provider (NPI-1).

NPI number1497409262
StatusActive
Last updated in NPPESFeb 9, 2022

Details

NPI
1497409262
Entity type
Individual (NPI-1)
Name
Tristan Lay
Sex
Male
Sole proprietor
No
Enumeration date
Feb 9, 2022
Certification date
Feb 9, 2022
Last updated
Feb 9, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Phone 707-428-1131

Mailing address

77 El Toro Ct
Fairfield, CA 94533-2233

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor providers in Fairfield, CA

All 135 Counselor providers in Fairfield · All 4,218 providers in Fairfield

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