Search › Idaho › 101YP2500X
Crystal Nystrom, LCPC
NPI 1124592365 · on the registry since 2019
Practice
- Address
- 2335 Main St
Lewiston, ID 83501 - Phone
- (208) 791-0129
- Fax
- (208) 743-1170
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho