Individual provider · Type 1 NPI

Triston Shane Eriacho, LSAA

Addiction (Substance Use Disorder) Counselor · Pine Hill, NM

NPI number 1023934379 Active

Practice location

Bia Rt. 125 Behavioral Health Road
Pine Hill, NM 87357

Call (505) 775-3353 Map

Fax (505) 775-3630

Mailing address

PO Box 490
Pinehill, NM 87357-0490

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	CTB-2023-0738 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

About NPI 1023934379

Triston Shane Eriacho, LSAA's National Provider Identifier is 1023934379, issued on Jun 29, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pine Hill, NM. The record was last updated on Jun 29, 2026.