Trystan D. Balderston LGPC - Professional Counselor in Silver Spring, Maryland | ProviderWire

Full Name

Trystan D Balderston LGPC

NPI Number

1639933781

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/09/2024

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LGP14177

Contact
Information

Purpose

Mailing

Location

Address

1 MCINTOSH CT APT G

11941 BOURNEFIELD WAY

City

Catonsville

Silver Spring

State

MD

MD

Postal Code

21228-6019

20904-7821

Country

US

US

Telephone Number

(410) 564-7626

(877) 552-6672

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/09/2024

Provider Address

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