Nystrom, Kristy

Nystrom, Kristy is an individual health care provider with primary practice located at 1617 Highway 12 E Ste 230 , Willmar MN 56201-5816. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Nystrom, Kristy can be contacted via phone (218) 791-8535.

Contact Information

Primary practice address
1617 Highway 12 E Ste 230 Willmar MN 56201-5816
Phone: (218) 791-8535
Fax: (320) 200-7480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3059 Minnesota

Profile Details

NPI number 1508261157
LBN Legal business name Nystrom, Kristy
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Feb 20th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508261157 NPPES
Minnesota Other 3059 LMFT LICENSE

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