Organization
NYSTROM & ASSOCIATES COUNSELING WI., S.C.
Active
Other names
Sagent Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JAMES PETERSON (CEO)
(651) 628-9566
Entity
Organization
Contact information
Practice address
5354 42ND ST S, FARGO, ND 58104-4032
(844) 697-8766
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 379-1750
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
10/21/2025
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