Brian Arthur Nystrom, L.I.C.S.W., L.M.F.T.
NPI #1326075813 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1326075813
- Entity Type
- Individual
- Name
- Brian Arthur Nystrom, L.I.C.S.W., L.M.F.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.I.C.S.W., L.M.F.T.
- Enumeration Date
- Jun 28, 2006
- Last Updated
- May 27, 2008
Practice Location
- Address
- BRIGHTON PROFESSIONAL BLDG
- Address 2
- 1900 SILVER LAKE ROAD #110
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-1789
- Phone
- (651) 628-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
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