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Nicole Sundstrom, LPC
NPI 1538714852 · on the registry since 2019
Practice
- Address
- 1031 W Sanetta St
Nampa, ID 83651 - Phone
- (208) 466-7443
- Organisation at this address
- Odyssey Pediatric Therapy Specialists, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-04
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