Brian Arthur Nystrom, L.I.C.S.W., L.M.F.T. Valid NPI

Individual provider · Clinical Social Worker · New Brighton, MN

NPI

1326075813

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

06197 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-28

Last updated

2008-05-27