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Organization
NYSTROM & ASSOCIATES, LTD
Active
Organization
NYSTROM & ASSOCIATES, LTD
Active
Other names
Sagent Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANN EIDEN (VP OF OPERATIONS)
(651) 379-1750
Entity
Organization
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06197
MN
106H00000X
Marriage & Family Therapist
0145
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001857100
—
MN
Enumeration date
07/30/2006
Last updated
10/21/2025
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