BRIAN NYSTROM, L.I.C.S.W., L.M.F.T.

Social Worker - Clinical

Active Individual

NPI: 1326075813

Practice Address

BRIGHTON PROFESSIONAL BLDG
1900 SILVER LAKE ROAD #110
New Brighton, MN 55112

Specialties

Specialty	Code	Primary	License
Social Worker - Clinical	1041C0700X	Yes	06197 (MN)
Marriage & Family Therapist	106H00000X	No	0145 (MN)

Frequently Asked Questions

NPI 1326075813 is the National Provider Identifier for BRIAN NYSTROM, L.I.C.S.W., L.M.F.T., a Social Worker - Clinical provider located in New Brighton, MN. This NPI was enumerated on June 28, 2006.

BRIAN NYSTROM, L.I.C.S.W., L.M.F.T. practices at BRIGHTON PROFESSIONAL BLDG, 1900 SILVER LAKE ROAD #110, New Brighton, MN 55112.

Quick Facts

NPI: 1326075813
Type: Individual
Enumerated: Jun 28, 2006
Last Updated: May 27, 2008

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