Nystrom, Camilla Hannah

Nystrom, Camilla Hannah is an sole proprietor health care provider with primary practice located at 1255 Kendall Rd , San Luis Obispo CA 93401-8750. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nystrom, Camilla Hannah can be contacted via phone (805) 781-3535.

Contact Information

Primary practice address
1255 Kendall Rd San Luis Obispo CA 93401-8750
Phone: (805) 781-3535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California

Profile Details

NPI number 1922439892
LBN Legal business name Nystrom, Camilla Hannah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2013
Last updated Oct 20th, 2021 - about 3 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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