| Mrs Tara Marie Nystrom, MS, MHC | |
|
3600 Route 112, Coram, NY 11727-4116 | |
| (631) 920-8302 | |
| (631) 920-8462 |
| Full Name | Mrs Tara Marie Nystrom |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3600 Route 112, Coram, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235565722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tara Marie Nystrom, MS, MHC 3 N 2nd St, Holbrook, NY 11741-1102 Ph: (631) 648-8312 | Mrs Tara Marie Nystrom, MS, MHC 3600 Route 112, Coram, NY 11727-4116 Ph: (631) 920-8302 |
Raquel Fernandes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 | |
Shannon Tierney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8610 | |
Adelowo Amole, MA, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8546 Fax: 929-244-4997 | |
Marie L Morin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Selvia Ct, Coram, NY 11727 Phone: 516-729-1845 | |
Janine Lynn Colasuonno, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8302 | |
Joseph Michael Ricciardi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 Fax: 631-920-8501 | |
Ms. Frances Atanasio I, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 Fax: 631-920-8501 |