Individual
CAROL B NYSTUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2435 E SOUTHERN AVE STE 2, TEMPE, AZ 85282-7628
(480) 205-7023
Mailing address
2024 E COLGATE DR, TEMPE, AZ 85283-2404
(480) 205-7023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10166
AZ
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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