Crystal Ann Nystrom, LCPC
NPI #1124592365 in Lewiston, Idaho
Provider Information
- NPI Number
- 1124592365
- Entity Type
- Individual
- Name
- Crystal Ann Nystrom, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Jan 21, 2019
- Last Updated
- Jan 21, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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