THERON NYSTROM
Counselor - Mental Health
Active
Individual
NPI: 1932689510
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | CG60883880 (WA) |
Frequently Asked Questions
NPI 1932689510 is the National Provider Identifier for THERON NYSTROM, a Counselor - Mental Health provider located in Vancouver, WA. This NPI was enumerated on August 14, 2018.
THERON NYSTROM practices at 1014 MAIN ST, Vancouver, WA 98660.
Quick Facts
- NPI
- 1932689510
- Type
- Individual
- Enumerated
- Aug 14, 2018
- Last Updated
- Aug 14, 2018
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