Nystrom, Debra
Nystrom, Debra is an individual health care provider with primary practice located at 20601 Us Highway 18 Ste 158 , Apple Valley CA 92307-3567. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nystrom, Debra can be contacted via phone (760) 946-2804.Contact Information
Primary practice address
20601 Us Highway 18 Ste 158
Apple Valley CA 92307-3567
Phone: (760) 946-2804
Fax: (760) 946-0378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MFC31725 | California |
Profile Details
| NPI number | 1982724027 |
|---|---|
| LBN Legal business name | Nystrom, Debra |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Sep 4th, 2019 - about 5 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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