Organization
MELISSA NYSTUEN COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA F NYSTUEN LICSW (CLINICAL THERAPIST)
(701) 641-1465
Entity
Organization
Contact information
Practice address
17 SOUTH MAIN STREET, CROSBY, ND 58730
(701) 641-1465
Mailing address
PO BOX 136, CROSBY, ND 58730-0136
(701) 641-1465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4400
ND
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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