BRIAN ARTHUR NYSTROM

NEW BRIGHTON, MN
NPI1326075813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  06197)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: MN  0145)
Enumeration Date2006-06-28
Last Update Date2008-05-27
Business Address
-- BRIAN ARTHUR NYSTROM L.I.C.S.W., L.M.F.T.
BRIGHTON PROFESSIONAL BLDG 1900 SILVER LAKE ROAD #110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
Mailing Address
-- BRIAN ARTHUR NYSTROM L.I.C.S.W., L.M.F.T.
BRIGHTON PROFESSIONAL BLDG 1900 SILVER LAKE ROAD #110
NEW BRIGHTON, NE 55112-1789
Phone number: 651-628-9566