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Crystal Ann Nystrom, LCPC
Professional Counselor in Lewiston, Idaho
NPI 1124592365

Crystal Ann Nystrom is a Professional Counselor based in Lewiston, ID and is specialized in Professional. Crystal Ann Nystrom practices in Lewiston, ID and has the professional credentials of LCPC. The NPI Number for Crystal Ann Nystrom is 1124592365 and holds a License No. 60098856 (Idaho).

The current practice location address for Crystal Ann Nystrom is 2335 Main St, Lewiston, ID and can be reached out via phone at 208-791-0129 and via fax at 208-743-1170. You can also correspond with Crystal Ann Nystrom through the mailing address at 2901 MEADOWLARK DR, LEWISTON, ID - 83501-9668 (mailing address contact number: 208-791-0129).

Location: 2335 Main St, Lewiston, ID, 83501-9668
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Provider Profile Details
NPI Number
1124592365
Provider Name
Crystal Ann Nystrom
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2335 Main St, Lewiston, ID, 83501-9668
Phone Number
208-791-0129
Fax Number
208-743-1170
Provider Enumeration Date
01/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0675366780 01 HPSO LIABILITY INSURANCE
institution
Provider Business Practice Location Address Details
Address
2335 Main St
City
State
Zip
83501-3242
Phone Number
208-791-0129
Fax Number
208-743-1170
person
Provider Business Mailing Address Details
Address
2335 Main St
City
State
Zip
83501-3242
Phone Number
208-791-0129
Fax Number
208-743-1170
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5700 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
60098856 (Washington)
Definition
Definition to come...
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