person
Mrs. Tara Marie Nystrom, MS,MHC
Mental Health Counselor in Coram, New York
NPI 1235565722

Tara Marie Nystrom is a Mental Health Counselor based in Holbrook, NY and is specialized in Mental Health. Tara Marie Nystrom practices in Coram, NY and has the professional credentials of MS,MHC. The NPI Number for Tara Marie Nystrom is 1235565722 and holds a License No. (New York).

The current practice location address for Tara Marie Nystrom is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8302 and via fax at 631-920-8462.

Location: 3600 Route 112, Coram, NY, 11741-1102
person
Provider Profile Details
NPI Number
1235565722
Provider Name
Tara Marie Nystrom
Credential
MS,MHC
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11741-1102
Phone Number
631-920-8302
Fax Number
631-920-8462
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
State
Zip
11727-4116
Phone Number
631-920-8302
Fax Number
631-920-8462
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
State
Zip
11727-4116
Phone Number
631-920-8302
Fax Number
631-920-8462
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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