| Crystal Ann Nystrom, LCPC | |
|
2335 Main St, Lewiston, ID 83501-3242 | |
| (208) 791-0129 | |
| (208) 743-1170 |
| Full Name | Crystal Ann Nystrom |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2335 Main St, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124592365 | NPI | - | NPPES |
| 0675366780 | Other | HPSO LIABILITY INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 60098856 (Washington) | Secondary |
| 101YP2500X | Counselor - Professional | 5700 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Ann Nystrom, LCPC 2901 Meadowlark Dr, Lewiston, ID 83501-9668 Ph: (208) 791-0129 | Crystal Ann Nystrom, LCPC 2335 Main St, Lewiston, ID 83501-3242 Ph: (208) 791-0129 |
Melinda Ellen Cook, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Miller St, Lewiston, ID 83501 Phone: 208-750-1802 Fax: 208-750-1803 | |
Mr. Anthony Brian Tenny, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-816-0015 | |
Mr. Larry Bearden, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-799-6500 Fax: 208-799-6504 | |
Beverly Lynn Fowler, LPC, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 Main Street, Lewiston, ID 83501 Phone: 208-750-1000 Fax: 208-750-1000 | |
Sara Light Bennett, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 Fax: 208-746-2294 | |
Ms. Sandra D. Godfrey, MA, LCPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 0309 2nd St, Lewiston, ID 83501 Phone: 208-746-0137 Fax: 298-746-8685 |